New IVR Prompt Option for Physical Therapy, Speech Therapy, and Spinal Manipulation Visit Limits

Effective May, 15, 2020, the interactive voice response (IVR) system on the Highmark Provider Service phone lines was enhanced to offer providers the ability to verify physical therapy (PT), spinal manipulation (SM), and speech therapy (ST) benefit visit limits.

Providers receive responses based on whether the member has benefits and if the member has utilized their benefits at the time of the call. Responses regarding utilization of visits are based on claims received and finalized for the member.

For more information and examples of how this works, please see the Plan Central Message posted on May 20, 2020.

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Provider News, Issue 3, 2020   |   © 2020 Highmark Blue Cross Blue Shield Delaware