CommercialJune 13, 2024
Faster notification of EDI corrected claims errors
For those providers and their corresponding vendors (either billing services or clearinghouses) who submit corrected claims through EDI, we’re enhancing the 277CA to notify you of submission errors discovered during our claims processing. Although you’ll continue to receive physical mail notifications related to claims processing issues, the 277CA notifications can expedite the turnaround time by highlighting submission issues upfront.
Now, the 277CA will also communicate the following messages:
- Tax ID and NPI are not registered.
- Billed place of treatment doesn’t correspond with the place of service.
- Rendering provider isn’t valid for the service date.
- Billing NPI doesn’t align with the claim’s tax ID.
Despite the addition of this new feature, there will be no reductions in the services we already provide. Our hope is that this change will augment the speed and communication of our service.
Through our efforts, we are committed to reducing administrative burden and ensuring timely payments because we value you, our care provider partners.
In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
MULTI-BCBS-CM-060850-24-CPN59863
PUBLICATIONS: July 2024 Provider Newsletter
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