Changing out of state BCBS plan to local BCBS in client's chart
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Hi, I see a lot of college kids on their parents' insurance plans so they have a different BCBS plan originating in another state then where I practice/am credentialed. I saw a help article saying I need to submit through my local BCBS instead of their state of origin BCBS, but there was no instruction on how to do this. Has anyone does this before and know how? I also have already submitted a claim that was rejected (was submitted to BCBS of TX instead of BCBS of LA where I work), and I'm not sure how to amend this claim and resend out. Help! 

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    TPC Admin

    You have to first go the the patients insurance page and edit the insurance payer to the local BCBS of the state you are credentialed in. (LABLS  is the blue cross blue shield of Louisiana.

    Delete the claim from the patient's billing screen, and recreate it for submission it should now have the right insurance company.  

    I hope this helps.

    You have to first go the the patients insurance page and edit the insurance payer to the local BCBS of the state you are credentialed in. (LABLS  is the blue cross blue shield of Louisiana.

    Delete the claim from the patient's billing screen, and recreate it for submission it should now have the right insurance company.  

    I hope this helps.

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    Meredith DuBose

    Thanks - do I just keep the group and policy numbers all the same? 

    Thanks - do I just keep the group and policy numbers all the same? 

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    TPC Admin

    Yes they should be exactly what is on the insurance cards.

    Yes they should be exactly what is on the insurance cards.

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    Meredith DuBose

    Ok thanks. I was confused because exactly what is on the insurance cards is not BCBSLA! I wasn't able to delete the encounter but I was able to resubmit it after I changed BCBSTX to BCBSLA in the chart. Here's hoping it works, thanks for your help!

    Ok thanks. I was confused because exactly what is on the insurance cards is not BCBSLA! I wasn't able to delete the encounter but I was able to resubmit it after I changed BCBSTX to BCBSLA in the chart. Here's hoping it works, thanks for your help!