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BCBS submission problems

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2 comments

  • Kim Clover

    The error from the post above usually means the payer on your claim is the actual BCBS "home plan" and not the BCBS "home state plan".  You should make sure the payer is BCBS for the state in which you are filing the claim.  Client's frequently select their home state plan when filling out the client portal as that is what it says on the insurance card.  However, BCBS claims should be filed with the state in which the practice is located.

    I found this post because I am getting a similar error but slightly different.  Information submitted inconsistent with billing guidelines. Participation Agreement (732).  Thought it might be rejecting over telehealth but rejecting office visit too.  Can't call the payer as the claim is never making it to the payer.  Not finding anything wrong on the claim.

     

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  • Ayelette

    Hi Kim,

    Thank you for providing this guidance!

     

    Hi Jasmine,

    We'd be happy to help with this. If you're still experiencing any issues, please reach out to us by clicking the blue question mark > Get Help option on the lower right of your account and we'd be glad to take a closer look.

    Note that the quickest way for you to get in touch with us directly regarding questions with your account or your clients is by clicking that blue question mark > Get Help option on the lower right. You can also reach us on our Live Chat feature, offered Monday - Friday, 6am - 7pm PT (learn more here).

    Although we're periodically monitoring the Community Forum, this is also a place for customers to exchange ideas and engage with one another on how to best use our platform, and we appreciate you acting as resources for each other in the meantime. 

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