0
Fixed

KNOWN ISSUE: BCBS Requirement Change

Jess Haagenson 3 years ago in Known Issues updated by Ashley Morschen (Project Coordinator) 3 years ago 2

It has been brought to our attention that BCBS of Minnesota (ID SB720) has changed their requirements and are now requiring R&B codes to send before treatment codes on claims. As you may have noticed, all claims for R&B and treatment sent to BCBS of MN are being denied but are not given a denial reason. 


Thank you to all who have sent tickets relating to this issue. Through these tickets, and calls from our staff to the payer, we have succeeded in identifying this issue.  In the interest of saving your time, there is no need to call the payer on this issue as we are actively working on a resolution.

We are aware that this is a critical issue so please watch this post for an update. We will have more information available tomorrow (11/09/2017)


Thank you,

Care Team 

Answer

Answer
Fixed

Good Morning!


This is resolved. All BCBS of MN claims submitted with both R&B and treatment will have the R&B as the first line on the claim. If you have any questions or need assistance, please submit a ticket to the Procentive Support Desk.


Thank you (and happy Monday)!

UPDATE: We have the adjustments in place to implement this requirement change, and are currently testing them. We will give a final update on this post when we have a final word of approval. At that point you will be able to re-submit any claims necessary. 

Answer
Fixed

Good Morning!


This is resolved. All BCBS of MN claims submitted with both R&B and treatment will have the R&B as the first line on the claim. If you have any questions or need assistance, please submit a ticket to the Procentive Support Desk.


Thank you (and happy Monday)!