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Physical Therapy, Occupational Therapy and Chiropractic Daily Bundle Maximum

Effective September 1, 2022, Highmark will modify the way it reimburses physical therapists, occupational therapists, and chiropractors for evaluations, therapy, modalities, and manipulations.

In keeping our commitment to making health care accessible and affordable to our members, Highmark recognizes the need to promote cost transparency. To that end, Highmark will be introducing a bundled daily rate for physical therapy, occupational therapy, and chiropractic services.

The new reimbursement methodology will better enable you and our members to know the cost of their treatment in advance, which will result in:

  • Greater revenue predictability
  • Increased ability to accurately collect member cost share at the time of service
  • Improved overall member experience

Learn More:

Last updated on 11/3/2022 4:15:24 PM

 

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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.