#TIMELY FILING LIMIT FOR BCBS CODE#

Should you have difficulty registering you may refer to the Log-in Tutorial. After you have registered, you will be able to view only your member’s claim information. Providers must pre-register on-line prior to having access to this confidential information. Providers can visit the BCBSAZ Health Choice Pathway Web site to review claims and check member eligibility. How may I check Claims Status or Claims Inquiry? Phoenix, AZ 85021 Maricopa and Pinal Counties Providers currently contracted with Health Choice may mail or fax written notification of their NPI number to the Network Services. More information on NPI is available online at Centers for Medicare and Medicaid Services. Providers may use their Medicare/UPIN number in Box 33 or continue to use the AHCCCS Provider ID as currently used when billing Health Choice.Įffective January 1, 2007, Health Choice will allow the option to submit claims using the National Provider Identifier (NPI), however, effective May 23, 2007, all claims are required to submitted with the NPI. Which Provider ID # should be used on the Claim Form for BCBSAZ Health Choice Pathway

Phoenix, AZ 85072-2033 What is BCBSAZ Health Choice Pathway’ Payor ID#? If you have any questions, please reach out to customer service 80 or our eSolutions team at 88.Last Updated: Jat 5:33 pm Claim Submissions and Coordination of Benefits Where should Plan Providers send their Claims?

#TIMELY FILING LIMIT FOR BCBS CODE#

837 submissions: Loop 2300 REF 01 = F8 REF02 = original claim ID number for institutional and professional Loop 2300 CLM05-3 contains frequency code for institutional and professional.

Electronic Blue e SM – professional only - correcting or voiding claims, set the correct claim flag to “Yes” on the Blue e SM CMS-1500 transaction and enter claim frequency type code (billing code) 7 for a replacement / correction, or 8 to void a prior claim, in the 2300 loop

Electronic Blue e - institutional only - change bill type in form locator 4 on the CMS-1450 claims entry screen to reflect that it is a corrected claim and provide the original claim number in box 64.

** 837 corrected claim indicators: 5 – Late charges only 7 – Replacement of a prior claim 8 – void or cancel claim

Electronic submission HIPAA compliant 837 claims - for 837 institutional claims specify appropriate corrected claim indicator** in loop 2300, segment CLM05-3, for 837 professional claims specify appropriate corrected claim indicator** 2300, segment CLM05-3.Please do not attach a Doctor Claim Inquiry form to a paper submitted corrected claim as this delays processing.If you submit a corrected claim after a claim has been adjusted more than one time, you must file the most recently assigned claim ID number and not the original claim ID number.Ĭoding guidelines when filing corrected claims: Submitting an incorrect claim ID number after a claim has been adjusted.You must first void the original claim submission and resubmit a new claim using the correct form type i.e., provider submits an original claim on a CMS-1500, the provider must first void the original claim and resubmit a new claim on the correct claim form type using the CMS-1450. When the original claim form type submitted is the incorrect claim form type and needs to be corrected.Resubmit as an original claim or validate the corrected claim you submitted has the correct original claim ID number. When the original claim ID number submitted cannot be located in our claims processing system.When providers do not file corrected claims with the appropriate frequency or type of bill code, claims must be returned or manually researched which creates delays in providers receiving their reimbursement, and additional administrative tasks and resources are spent trying to resolve many corrected claims.Įffective 08-01-2023 Blue Cross NC will begin rejecting corrected claims submissions, and these claims will be mailed back regardless of whether the claim was filed electronically or on paper, for the following three scenarios: Claims are only eligible to be considered as corrected claims when they are resubmitted after being previously processed for payment.Įach month, Blue Cross NC receives a large volume of corrected claims that have not been filed appropriately. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) would like to remind providers that when filing corrected claims, coding guidelines require specific data elements.

Timely filing limit for bcbs