Priority Health

Priority Health is encouraging members to use virtual care if they believe they have symptoms (coughing, fever, breathing trouble) to avoid overwhelming health care providers and prevent further spreading the virus. As a reminder of the options available for billing virtual visits, see telephone visits, e-visits and hosted visits . Certain telehealth codes can only be billed by physicians, while other codes can be billed by physicians or qualified health professionals (QHPs). QHPs are credentialed by Priority Health. They include RNs, certified NPs, PA-Cs, licensed master’s social workers (LMSWs), psychologists (LLPs and PhDs), certified diabetes educators (CDEs), registered dieticians and Masters’- trained nutritionists, clinical pharmacists and respiratory therapists. Learn more about billable codes on our virtual visits billing page. G9001, G9002, 99495 and 99496 can be provided virtually.  Billing these codes with the place of service (POS) Code 02 will apply towards the PCP IP care management measure billing requirement For most members on non-health savings account (HSA) plans, virtual visits are covered in full. HSA members are responsible for the allowed amount of the virtual visit, ahead of their deductible. In addition, please see the attached document describing Priority Health’s resources for providers and patients.