Submit digital attachments within 7 calendar days for claims filed with a PWK segment indicator

When submitting claims through the Electronic Data Interchange (EDI) you indicate supporting documentation is coming by completing the PWK segment on the claim. The PWK segment indicator tells us that you will be submitting supporting documentation for the claim and it also ensures the documents are attached correctly to the claim. You upload the supporting documents through the Availity Essentials* Attachments Dashboard.

 

In November, the Attachments Dashboard will have a new look for Empire BlueCross BlueShield claims

The sooner we receive the attachments you indicated we will receive, the faster the claim can begin to process for payment. To meet this expectation, the Attachments Dashboard will begin a 7 calendar day countdown beginning in November. This means that claims will begin processing sooner for those claims with the PWK segment indicator.

 

If you are unable to meet the seven calendar day submission deadline, the claim will move from your Attachments Dashboard inbox into your History folder and will be marked as expired. The claim will then deny for additional information based on the PWK segment indicator and move to Claims Status located under the Claims & Payments tab on availity.com. Upload your attachment from Claims Status by using the Submit Attachment button located on your claim.

 

To learn more about the new claims attachments workflow, visit our Provider Learning Hub or access the on-demand webinar recording, Learn about the new claims attachments workflow, using this link.

 

* Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield.

 

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