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submitted claims not being received by insurer

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Michael Evans

All claims that I have submitted electronically through Simple Practice since 11/1/2019 have not been received by the insurance payor - Blue Cross Blue Shield.  I have contacted them and they just say that they have not received any claims in the time period.  Things were going smoothly prior to this date and now nothing.  Please help!

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Comments

19 comments

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  • Gillian

    Hi Michael, I'd be happy to help with this. Can you clarify which state you're in?

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  • Michael Evans

    Arkansas

     

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  • Gillian

    Got it, thank you for clarifying, Michael. A member of our Insurance Specialist team will reach out to you today regarding this.

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  • Jenny TeGrotenhuis

    Help!  Submitted claims have not been received by insurer.  

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  • Leslie Wright

    I am having the same problem with my Blue Cross claims.  I am also in Arkansas.

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  • Gillian
    • Edited

    Hi all, I went ahead and reached out to our clearinghouse on your behalf regarding your ARBLS claims. They clearinghouse confirmed that they are currently experiencing some connectivity issues with BCBS.

    You can continue to submit claims to this payer via SimplePractice with no issue. Though the claims' statuses won't update until the payer and the clearinghouse resolve the connectivity issues, the clearinghouse confirmed that all submitted claims will process. Currently, there is no action required from you. If necessary, they will resubmit any affected claims on your behalf. They have also confirmed that all affected ERAs will be reposted once the connectivity issues have been resolved.

    Please let me know if you have any questions. I'll post in this thread again once all connection issues have been resolved. 

    Edited: The connection issue with BCBS of Arkansas has been resolved.

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  • Shea Graham

    We are having this issue with Anthem and Tri west

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  • Gillian

    Hi Shea, we'd be happy to look into this for you. A member of our Success team will reach out to you to assist today. 

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  • Meggan Havelka

    I am having this issue with BCBS of Texas not receiving claims from the Blue Cross Central States Help Plan. With no claim numbers assigned BCBS cannot help. Can you advise?

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  • Gillian

    Hi Meggan, we'd be happy to help. A member of our Insurance Specialist team will reach out to you shortly to assist.

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  • Heather Moura

    I am having a issues with Medicaid of Connecticut. They are not receiving them either 

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  • Gillian

    Hi Heather, we'd be happy to look into this for you. A member of our Insurance Specialist team will reach out to you via email shortly. 

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  • Liz Hooks

    We have been having similar issues with BCBS in NC.  I have several claims that have been marked as "received" for several months now.  I don't want to delete them since it is proof that they were submitted but I have not gotten paid and want to follow up.  Should I call BCBS or is that something you can help with?

    Liz Hooks

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  • J. P. Rutledge

    Same issue with Medicare not pushing through secondary United AARP when they did ALL last year (NC). Policy has not changed; nothing has changed. Have not been getting paid by secondary when was all last year. United AARP told clt they had not received the claims.

    Can you help?

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  • Ruth
    • Edited

    Hi J and Liz - I'd recommend contacting our Insurance Team! Liz, they'll be able to investigate why your claims are stuck in the "Received" status. J, they'll be able to find out why your client's Medicare Crossover Plan didn't automatically bill the client's secondary insurance. Reach out by submitting an email Help Request. Once you do, an Insurance Specialist will be in touch soon! 

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  • Sharon J. McDonnell

    Since Feb 2020 to present insurances are not receiving my claims that are submitted electronically

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  • Gillian

    Hi Sharon, I've created a request on your behalf to our Insurance Team. A member of our team will reach out to you via email shortly to assist.

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  • Ebony Blue-Fields

    Im having this current issue with Cigna in Florida but only for one claim for one patient all her other claims have processed fine. All my other Cigna claims for other clients are processed with no problem as well. Should I resubmit the claim (Cigna has recommended I do so but I just want to clarify). Thanks

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  • Nadia Siddiqui

    BCBS OF TEXAS, CLAIMS REJECTED. PLEASE HAVE A LIVE PERSON CUSTOMER SERVICE. 

    THANKS 

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