--- title: Update from BCBS on Evaluation and Management Related Services Recoupment description: Blue Cross Blue Shield of NC update regarding technical issues affecting E&M claims. image: https://go.northwestahec.wakehealth.edu/hubfs/Studio%20macro%20of%20a%20stethoscope%20and%20digital%20tablet%20with%20shallow%20DOF%20evenly%20matched%20abstract%20on%20wood%20table%20background%20copy%20space.jpeg --- [![nwahec.png](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png?width=2025&height=300&name=WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png "nwahec.png")](https://go.northwestahec.wakehealth.edu/) - [Home](https://go.northwestahec.wakehealth.edu) - [What's New at NWAHEC Blog](https://go.northwestahec.wakehealth.edu/blog) - [NWAHEC Staff](https://go.northwestahec.wakehealth.edu/staff) - [Practice Support Updates](https://go.northwestahec.wakehealth.edu/practicesupport) # Practice Support Update Blog ## [Update from BCBS on Evaluation and Management Related Services Recoupment](https://go.northwestahec.wakehealth.edu/practicesupport/update-from-bcbs-on-evaluation-and-management-related-services-recoupment) Oct 20, 2022 8:00:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) - [Tweet](https://twitter.com/share) Read the full write up on the blog this week! From Blue Cross and Blue Shield of North Carolina: "Blue Cross and Blue Shield of North Carolina (Blue Cross NC) recently updated the 50% reimbursement of Problem Oriented Evaluation and Management Related Services when submitted on the same date as Preventive Medicine or Annual Wellness encounter, to effective date September 8, 2022.    On August 16, 2022 we posted an [Update on Evaluation and Management Related Services](https://www.bluecrossnc.com/provider-news/update-evaluation-and-management-related-services) informing providers of a technical issue where our editing was not properly adjudicating the problem visit at the 50% allowance, according to the policy for claims with dates of service June 1, 2021 to May 31, 2022.  Additionally, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) recently identified a separate technical issue that prevented most E&M claims filed between June 1, 2022 and September 7, 2022, from being processed in accordance with the updated [E&M commercial reimbursement policy](https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.bluecrossnc.com%2Fsites%2Fdefault%2Ffiles%2Fdocument%2Fattachment%2Fservices%2Fpublic%2Fpdfs%2Fmedicalpolicy%2Fevaluation_and_management_services.pdf%23search%3DEvaluation_and_management_services%2520EVALUATION%2520AND%2520MANAGEMENT%2520SERVICES%2520evaluation%2520and%2520management%2520service&data=05%7C01%7CJennifer.Hodorowicz%40bcbsnc.com%7C90c2bdf1376b485baf1608daa70b7566%7C8554e7b2e6684c1c8d273b12f5c733ac%7C0%7C0%7C638005964905173836%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=z8XTSQPx7a0FZj0l%2FgBXJE%2FRXR8S7Opk%2Fo6mVHTrgwE%3D&reserved=0).   As a result, claims submitted for dates of service between June 1, 2021 and September 7, 2022, will not be subject to the updated E&M commercial reimbursement policy due to this technical error. Claims submitted for dates of service September 8, 2022 and beyond will process in alignment with the updated policy.    If you have received a request for recoupment, please disregard at this time. If you have submitted a refund in response to our request, more details will be shared soon on the process for reversing your payment.   We apologize for the confusion, and we’re working as quickly as possible to make things right. We appreciate your ongoing patience as we continue our work to resolve this. If you have questions or need assistance, please contact Customer Service at the number listed on your invoice. " [Link to 10/17/2022 publication from BCBS of NC](https://www.bluecrossnc.com/provider-news/update-evaluation-and-management-related-services-recoupment) Tags: [BCBS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/bcbs) ![Practice Support Team](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/CircleNWAHEC-2022-3.png?width=100&height=100&name=CircleNWAHEC-2022-3.png) #### Written by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. ### Practice Support Services Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts. 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Check Out These Recent Posts # About Us The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina. [Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC) # Links - [Course Catalog](http://nwahec.org/) - [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6) - [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec) - [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development) - [Contact Support](https://go.northwestahec.wakehealth.edu/support) # Contact Us [ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu) Medical Center Boulevard Winston-Salem, North Carolina Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Practice Support Team", "url" : "https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team" }, "dateModified" : "2022-10-20T12:00:00.753Z", "datePublished" : "2022-10-20T12:00:00.000Z", "headline" : "Update from BCBS on Evaluation and Management Related Services Recoupment", "mainEntityOfPage" : { "@id" : "https://go.northwestahec.wakehealth.edu/practicesupport/update-from-bcbs-on-evaluation-and-management-related-services-recoupment", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://go.northwestahec.wakehealth.edu/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png" }, "name" : "Northwest Area Health Education Center (NWAHEC)" } } ```