Thursday, June 10, 2010

Submit the claim to Local plan denial .


             Please be aware that the claims of BCBS should be sent to local plan only irrespective of the coverage of the patient. You may be aware that the plan with which the patient is having coverage is home plan and the plan with which our doctors are participating are called local plan. Irrespective of the patients coverage all the claims need to go to local plan. The local plan forwards the claims to home plans for processing of payment.  But we should not send the claims directly to home plans.

            Action: If you get this rejection, check the system to see which address claim was sent previously.  If it is wrong, then the address can be changed and the claim can be refilled.  If you find that the address is correct then call insurance and ask them why it was denied.

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