State BCBSNC currently gives error messages such as ‘ID incorrect or ICD9 Code incorrect, but when I send the same claim by paper, the claim is paid. Whats going on?
In the past BCBSNC manually revised many paper and electronic claims containing faulty data when the error involved identifiable data elements that we were able to correct. However, given changes mandated by HIPAA, BCBSNC no longer allows the manual changing of identification numbers, dates of service, place of service, diagnosis codes, procedure codes, or provider numbers. Claims submitted with these errors will be subject to all HIPAA Implementation Guide edits and BCBSNC business edits and will be returned to the provider for correction.
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