Can providers tell if BMC HealthNet Plan accepted the claims they submitted?
After receipt of an electronic claims file, BMC HealthNet Plan provides an Initial Claim Status report (sometimes referred to as a scrubber or error report) the next business day. This report shows whether each claim was accepted for processing or rejected. The only time an initial electronic claim will not make it into the Plan’s system is if the provider has used an unrecognized NPI, an unrecognized member ID, or a pay-to tax ID that doesn’t match the pay-to tax ID BMC HealthNet Plan has on file for the submitted NPI. Providers can also check on the status of claims they’ve submitted by logging into the Plan’s Web site (if they’re participating providers) or calling our provider line at 1-888-566-0008. Providers who don’t have a login to the Plan’s Web site should contact their Provider Relations representative or call the provider line at 1-888-566-008 to obtain one. All providers sending electronic claims MUST submit with the claim an NPI that is registered at BMC HealthNet Plan AN
