CommercialAdministrativeMedium impact
Claims Reminders for Behavioral Health Services
BCBS Oklahoma·OK · Psychiatry·Reimbursement
Effective date
May 12, 2026
We identified it
Jun 18, 2026
Summary
BCBS Oklahoma issued new billing reminders for behavioral health services emphasizing that out-of-network providers must bill under their own NPI, trainees must be under direct supervision 100% of the time, and a new HL modifier will be required in the future to designate trainee services. These requirements also apply to physical health services.
Action Required
Immediately: Ensure out-of-network providers in group practices bill under their own NPI, not the supervising provider's NPI. Verify all trainee services have direct supervision documentation with supervising provider present 100% of the time. Do NOT use the HL modifier yet - wait for BCBSOK notification before implementing. Review claims submission processes to ensure rendering provider NPIs match actual service providers.