What happens if a member or a provider sends in a claim with their SSN instead of the new identifier? Will it be returned?
We plan to make a gradual transition to the new identifiers, which means that for a while, our systems will continue to read the SSN-based ID number as well as the new subscriber IDs on incoming claims. Our goal, however, is to encourage all providers to use the member’s correct (i.e. new) ID number. When your employees receive their new cards next year, please remind them to replace their old ID cards. Members should always present their most current BCBSNC ID card when obtaining health care services. The information on the ID card will enable the provider to file the claim accurately.
Related Questions
- What happens when the insurance company sends the payment for a claim to the patient rather than the provider? Can we bill the patient the entire amount?
- When a provider is billing Medi-Cal for a surgery, do they need to include the facility’s National Provider Identifier (NPI) on the claim?
- What happens if I received a claim payment prior to the liquidation and the check was returned by the bank?
