Tertiary Claim Rejections – Electronic Submitter Alert
It has been determined that electronic tertiary claims received by Blue Cross and Blue Shield of Texas (BCBSTX) have been rejecting since June 27, 2012. Specifically, BCBSTX was incorrectly rejecting tertiary claims for balancing issues.
Due to the above situation, you may have received a rejection notice from BCBSTX through Availity®’ or your preferred electronic claims clearinghouse, which stated the following:
- Due to other claims reject(s); batch was rejected.
- Tertiary claims are not accepted electronically at this time.
Please be informed that BCBSTX will be prepared to resume accepting tertiary claims electronically beginning the week of Aug. 20, 2012. We are working to identify impacted claims that must be resubmitted. Submitters of impacted claims will receive another response file with details.
If you use a billing service or clearinghouse, please make sure they are aware of this information. Questions should be directed to our Electronic Commerce Center at 800-746-4614.
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