03/24/2017

BCBS/BCN: Professional Providers Required to Submit Electronic Claims

As announced in the March 2017 The Record, Professional Providers will soon be required to submit claims electronically.  

Starting June 30, 2017, participating providers will be required to submit the following types of claims electronically:

• Original Claims
• Replacement Claims
• Void or Cancel Claims
• Any claim that includes services for which you will submit medical records

Claims excluded from the electronic submission requirement are:

• Coordination of benefits tertiary Claims
• COB Secondary Claims
• Claims for specified human organ and bone marrow transplants
• Medicaid Claims
• Medicare Advantage Claims
• Blue Care Network Claims

Have questions?

• If you have any electronic claims questions, contact the Electronic Data Interchange help desk at 1-800-542-0945
• For assistance with reporting this information using your practice management system, contact your software vendor or clearinghouse.
• If you need information on the status of a claim you submitted or have any other questions, contact Provider Inquiry.
• If you have additional concerns that can't be addressed by Provider Inquiry, contact your provider consultant.