Telemedicine / Telehealth / Virtual Health Care Services payment and coding
Defines Blue Cross Blue Shield of New Mexico's payment and coding requirements for telemedicine, telehealth, and broader virtual health care services provided when patient and provider are not co-located; applies to eligible providers billing the Plan and to claims submitted for services rendered using telecommunication technologies.
New policy created (policy history shows initial date 11/09/2020) and subsequent annual updates through 02/26/2024; document includes note of new telemedicine service codes (98000-98016) and modifier 93 appendix information added as an upcoming/boarded change.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.