Important update: Blue High Performance Network claims submission guidelines and provider information

To reduce billing errors for Blue High Performance Network^® (BlueHPN^®) members, effective December 14, 2024, we will begin using a new claim message when claims are submitted to the incorrect plan.

Key aspects of the message will be:

We have denied this claim because a BlueHPN contracted provider has submitted the claim to an overlapping service area for which they do not have a BlueHPN contract. Please resubmit the claim to the plan where the contract is held. For the simplest way to review the status of the original claim, from https://Availity.com/, select the Claims & Payments tab. Find the original claim using the claim number or the dates of service.

Submitting claims to the correct local plan streamlines payment processing and eliminates delays in resolving incorrect billing. This also improves member satisfaction and eliminates unexpected explanations of payment and medical invoices with the BlueHPN provider.

For more information on BlueHPN, please review the newsletter article published on the provider website in April 2024. If you have specific questions about your participation or this process, please contact your provider relationship management representative or Provider Services.

We are focused on reducing administrative burdens so you can do what you do best — care for our members.