On July 1, 2011, a new mandate issued by the state of Delaware for billing chiropractic/spinal manipulation services will go into effect for all Delaware insurers.
To comply with this mandate, beginning July 1, 2011, any member who is insured by a Delaware insurer and who receives chiropractic/spinal manipulation services will be billed for a copayment equal to that of a primary care physician visit. Therefore, chiropractors should verify the correct copayment amount through the NaviNet® web portal. To do so, select Eligibility and Benefits Inquiry from the Plan Transactions menu, input the member’s information, and select the member name from the search results to view the PCP copayment amount.
If you are not NaviNet-enabled, you can register by going to www.navinet.net and selecting Sign up from the top right.
Member eligibility and copayment information is also available through the Provider Automated System by calling 1-800-ASK-BLUE.
Note: This notice does not apply to Medicare Advantage HMO or PPO members.