Attn: Blue Cross of MI Providers- Claims submission impacted

Hey Michigan Providers, just wanted to make sure all of you saw this and knew where to look in HDMS! (see screenshot & summary below) BCBSM released the following:

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From: EDI/Customer Management <EDICustMgmt@bcbsm.com>
Sent: Thursday, April 26, 2018 2:12 PM
Subject: Reminder: EDI Professional Commercial Payer List – Updated payer IDs effective April 23, 2018

 

To: BCBSM Commercial Payer Submitters
Subject: Reminder: EDI Professional Commercial Payer List – Updated payer IDs effective April 23, 2018

Message: 

The commercial payer IDs below will no longer require a claim office number as of April 23, 2018. Claims reporting the payer ID and a claim office number will reject with an edit of ‘P017 Commercial Payer ID and or Claim Office Number is Invalid.’ Rejected claims must be corrected and rebilled with the appropriate Payer ID without a claim office number.

Please make these changes to avoid receiving rejections. Please reference the revised Commercial Payer List on bcbsm.com for a complete list of commercial payers. A claim office number should only be reported when one is listed on our Commercial Payer list for a specific payer ID.

Please note the following payer IDs no longer require a claim office number.

Payer ID Payer Name
06105 CONNECTICARE INC
06111 OXFORD HEALTH PLAN
25133 MAIL HANDLERS BENEFIT PLAN
25133 FIRST HEALTH
34131 SELF FUNDED PLANS
35164 SAGAMORE HEALTH NETWORK
35182 CORESOURCE AZ,IL,IN,MD,MN
36215 CENTRAL STATES HEALTH
37330 PHYSICIANS HEALTH PLAN
38224 HAP – HEALTH ALLIANCE PLAN OF MI
39026 UMR – ALL PLANS (FORMERLY UMR WAUSAU)
44054 GOVERNMENT EMP HOSP ASSOC
44444 AMERICAN POSTAL WORKERS UHP
52180 UMWA HEALTH RETIRE FUNDS
53011 NATIONAL ASSOC OF LETTER CARRIERS
60054 AETNA – ALL PLANS
62308 CIGNA – ALL PLANS
71063 CNA HEALTH PARTNERS
71412 MUTUAL OF OMAHA
71412 UNITED OF OMAHA
71412 RURAL CARRIER BENEFIT PLAN
80705 GREAT WEST LIFE
81264 NIPPON LIFE INSURANCE CO
87726 UNITEDHEALTHCARE – ALL PLANS
95567 HEALTH NET CALIFORNIA

For information about billing commercial payer claims electronically, review our 837 Professional Companion Document on bcbsm.com.

If you have questions about these payer IDs or submitting electronic commercial claims, call the EDI helpdesk at 1-800-542-0945.

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Please check the payers listed in HDMS. We’d advise you search your Payer Table by “EMC Payer Plan” in order to quickly identify the payers listed.

Next, on the EDI Tab check the field labeled “Claim Office ID” and remove anything present there. The email indicates this is retroactively in effect and will reject claims!

 

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