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BCBS ERA STATUS?

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7 comments

  • Katie Dominguez

    Seriously, I second all of this. I am quite frankly shocked there has been no mention or update regarding this matter.

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  • Lily Gonzalez

    Agreed! For group practices this is getting really uncomfortable since we can't pay our clinicians for BCBS claims! We been information about what the issue is and what you're doing to fix it. We are getting charged for services that we aren't getting.

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  • Lily Gonzalez

    *WE NEED*

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  • Kara Gasperone

    We are experiencing this also. For some BCBS claims, I am having to look them up manually in the BCBS provider portal one by one to see if they have paid/processed. They eventually are - and deposits are being made to my bank account. However, there seems to be a serious issue with communication between BCBS and SP, I suspect due to the healthcare data breach in Feb/March. It was an absolute nightmare and I found neither BCBS nor SP to be helpful in answering questions or giving a time frame for correction. I recommend logging into the BCBS provider portal and looking claims up to see if they have processed, the copay due, and whether it has been deposited to your account. This is incredibly tedious but the information is available at least until BCBS and SP figure out how to play nicely again...

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  • Samuel Lima

    We are still not receiving ERAs from BCBS.   Received a response that the issue was "solved" but still no ERAs.  Very disruptive!

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  • Alison Hamilton

    I (and many others in the DMV area) have not gotten them at all since the breach in February. The two organizations seem to be pointing fingers at each other. As much as they try to place all responsibility on the insurers, SP has a role in this too, as I have pointed out. They need to be advocating/working on behalf of the customers who are paying them a significant chunk of money.

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  • Samuel Lima

    Even after a call to BCBS provider services I was unable to get an answer - other than I can go on Availity and download the ERAs and EOBs.  SP states that we are linked to a different clearinghouse, and thus are being rejected to be linked to SPs - I would have to surmise that is Availity's EDI clearinghouse, but I have no idea on how that happened or how to unlink us.    For now I also get the ERAs hard copy a week later, so I am manually entering the payments.  Any solid information would be appreciated. 

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