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BCBSM Claim Rejections and Delay in Processing

As a result of a coding error, claims filed under the BCBSM Community Blue, Traditional and Transition plans beginning 1/01/17 through 2/14/17 may have rejected, stating “Your health plan has no benefits for this service and can’t pay for it for this patient. The provider will expect payment from you.”

BCBSM has advised that their Customer Service Center and Provider Inquiry have been notified of this issue and they are advising members/providers not to resubmit claims and for employees/retirees to not pay providers until the issue has been resolved and their claim has been reprocessed appropriately. No further action is required from the employee/retiree for claims submitted beginning 1/01/17 through 2/14/17.

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