BCBSM will require professional providers to submit claims electronically as of June 30, 2017
Blue Cross Blue Shield of Michigan has notified providers that it will no longer accept paper submitted professional claims from providers who have the capability to submit electronically, effective June 30, 2017. These types professional claim types must now be submitted electronically.
· Original claims
· Replacement claims
· Void or cancel claims
· Any claim that includes services for which you will submit medical records
For more information and the complete scoop, please read the BCBSM article directly and we suggest strongly that you sign up for their mailing list.
Showing posts with label BCBSM. Show all posts
Showing posts with label BCBSM. Show all posts
6/29/17
9/3/15
Genius Solutions' September 1st Friday Conference Call
The next Genius Solutions First Friday of the Month Conference Call is scheduled for Friday September 4th at 10:00 a.m. Eastern time.
Planned topics for the conference call (so far) are:
9/2/15
Michigan Blue Cross? You MUST sign up with Emdeon to continue receiving electronic remittance!
Per Blue Cross, providers must enroll with Emdeon in order to retrieve their BCC (Blue Cross Complete) vouchers and receive 835 transactions from Blue Cross Blue Shield of Michigan. On Sept. 14th, if you have NOT signed up with Emdeon, you will longer be able to receive or access remittance information through web-DENIS.
Effective September 10, 2015, providers must enroll with Emdeon to retrieve their BCC vouchers and receive 835 transactions from Blue Cross Blue Shield of Michigan.
To enroll, visit emdeon.com (http://www.emdeon.com/resourcelibrary/#119) to locate forms and information about the set up process. An enrollment guide (http://www.emdeon.com/resourcepdfs/Enrollment%20Guide.pdf) is available to walk you through the steps of completing the ERA Provider Setup Form for remittance files.
Be sure to have the following information available when you fill out the Emdeon form:
You can submit completed forms by fax at (615) 885-3713, or e-mail at batchenrollment@emdeon.com. Per Blue Cross/Emdeon, the processing turnaround time is about 72 hours.
Per Blue Cross, "if you experience interruptions with receipt of 835s, contact Emdeon at (800) 451-5059". I'm guessing this means after Sept. 14th.
Effective September 10, 2015, providers must enroll with Emdeon to retrieve their BCC vouchers and receive 835 transactions from Blue Cross Blue Shield of Michigan.
To enroll, visit emdeon.com (http://www.emdeon.com/resourcelibrary/#119) to locate forms and information about the set up process. An enrollment guide (http://www.emdeon.com/resourcepdfs/Enrollment%20Guide.pdf) is available to walk you through the steps of completing the ERA Provider Setup Form for remittance files.
Be sure to have the following information available when you fill out the Emdeon form:
- Section 2 - Vendor Name: Blue Cross Blue Shield MI
- Section 2 - Submitter ID: 382069753
- Section 3 - Receiver ID: 382069753
- Section 3 - Distribution Method: Select TSO ID from the drop down menu
- Section 3 - Distribution: I65V
- Section 4 - Payer ID: 32002
You can submit completed forms by fax at (615) 885-3713, or e-mail at batchenrollment@emdeon.com. Per Blue Cross/Emdeon, the processing turnaround time is about 72 hours.
Per Blue Cross, "if you experience interruptions with receipt of 835s, contact Emdeon at (800) 451-5059". I'm guessing this means after Sept. 14th.
1/6/15
Attention All Podiatry Office People!
Attention!
ALL PODIATRIST, office manager, billers:BC is presenting a seminar on January 15,2014 at the New Hudson office from 9-12. Register through BC/DENIS. The topic is "An overview for podiatry,icd-10 and documentation. Debbie Janica @ Dr. Schram's office worked relentlessly to get this meeting, PLEASE LET ANYONE IN PODIATRY KNOW, they have stated if there is a good turnout there could be more meetings.
6/17/14
Michgan Blues Claim Filing DEADline
If you submit a claim after the filing limits, BCBSM will not offer any special handling or filing extensions, and no payment will be due from BCBSM or the subscriber. All health care providers must follow claim-filing deadlines (as you can see, there are no exceptions here).
For more information about this change, please refer to the March 2014 Record.
Blue Cross defined the local contracts, which have been migrating to their new system and will be completely migrated mid September.
These local contracts include:
- Local and Medicare Advantage group numbers: Five digits
- MOS group numbers: Nine digits
- NASCO group numbers: Five digits, usually starting with a seven or eight
- BCN group numbers: Eight digits
Any clam submitted with one of the local contracts (listed above); whether it is a secondary, resubmission, or original needs to be received by Blue Cross no later than September 15, 2014 or it will not be processed.
Patients with local contracts should have received a new contract number to go through the new system.
You can contact Provider Inquiry at Blue Cross of Michigan for more information.
Provider Inquiry Information:
If
you’re calling from this area code
|
Hours
of operation
|
Use
this phone number
|
248,
313, 586, 734, 810 or 947
|
8:30
a.m. to 5 p.m.
|
1-800-245-9092
|
517,
989
|
8:30
a.m. to 5 p.m.
|
1-800-272-0172
|
231,
269, 616, *989
|
8
a.m. noon,
1
p.m. to 5 p.m.
|
1-800-255-1878
|
906
|
8:30
a.m. to noon,
1:05
p.m. to 5 p.m.
|
1-866-872-5837
|
Outside
Michigan
|
8:30
a.m. to 5 p.m.
|
1-800-482-3146
|
For
questions about BCBSM employees only, contact our Ombudsman office.
|
8:30
a.m. to noon,
12:50
p.m. to 5 p.m.
|
1-877-258-0167
313-225-8748
|
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