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Independence Blue Cross (IBC)
IBC Hospital Readmission Claim Payment Policy
Last Updated: 9/1/2011
Effective September 1, 2011, Independence Blue Cross (IBC) implemented a new claims payment policy for hospital readmissions “to eliminate the payment of multiple case rates for a single clinical event.” According to IBC Claim Payment Policy #00.01.47, readmission to the same hospital, or a hospital within the same health system, within three days of discharge from a previous hospital stay, and for a condition directly related to the original stay, is not eligible for separate reimbursement. The claim for the hospital stay that results in the higher payment will be paid; other claims related will not. In response to hospital community feedback, IBC published this bulletin containing a Frequently Asked Questions document clarifying some aspects of the policy.
Self-injectible Drugs Covered Under IBC Pharmacy Benefit
Last Updated: 6/25/2009
Effective January 1, 2010, the Independence Blue Cross (IBC) medical benefits program will no longer cover most self-injectable drugs. IBC HMO, POS, Direct POS, or PPO members with IBC pharmacy benefits will continue to be covered for self-injectible drugs in 2010 as described in the document below.
IBC Policies / Procedures for Plan Change Notification
Last Updated: 11/8/2007
This document outlines the various communication mechanisms used by Independence Blue Cross (IBC) to inform providers of any changes to health insurance plans.
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