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BCBSTX accepted the claim, but then rejected it for a membership error. What should the provider do?

April 26, 2017bcbstx claim Error membership Provider

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BCBSTX accepted the claim, but then rejected it for a membership error. What should the provider do?

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A. Most of the time when THIN accepts the claim and the payer rejects it for no membership, it is because the alpha prefix was invalid or not on the claim. It is very important to be sure that the correct alpha prefix for the date of service being billed is included on the claim.