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BlueCross BlueShield of Texas
   
         
     
 
What's New
Attention Professional Electronic Submitters
Evidence Based Reimbursement
Clotting Factor Product Initiative
Coordination of Benefits and Patient Share
Maternity Program: A Healthy Start for Mothers and Babies
Downtime Alert - RediLink Production System
Guaranteed Coverage to all Affected UniCare Members
Untimed Billing Procedure CPT Codes
Walmart Behavioral Health Benefit Announcement
Provider Claim Summaries on all Adjustments - Coming Soon!
Special Coverage for H1N1 Vaccine
EDI Update
PCS to EPS: 30-Day Transition Reminder
eCards for Health
Important - New Process for Use of Out-of-Network Providers - Effective December 1, 2009
Clear Claim Connection 4.0
New Availity Claims Research Tool can improve your claims accuracy, office efficiency
Proper Speech Therapy Billing
FDA New Warnings/Proposed Changes to Acetaminophen Products
Medicare Corrected Claims
Corneal Transplant Predeterminatiion Process
Are You Billing for Compound Drugs?
Availity Participating Provider Training Webinars - November 2009


Blue Cross Blue Shield Secondary to Medicare Claims Alert

Blue Cross and Blue Shield of Texas is experiencing an issue with electronic claims submitted when Blue Cross Blue Shield is Secondary to Medicare claims. It appears this 'issue' may have started mid/late December.

If you are receiving the denial message on your Provider Claim Summary (PCS) or Electronic Payment Summary (EPS) or Electronic Remittance Advice (ERA) requiring Medicare Information, please do not resubmit these claims electronically until this issue has been resolved. We will inform you as soon as a resolution becomes available.

Note: This does not affect Medicare Crossover claims received from Global Health Incorporated (GHI), Medicare’s clearinghouse.

posted 4/2009


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a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
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