Hello!

Is anyone finding that BCBS MN Medicare episodes for payer ID 00720 are requiring prior authorization?  We had a couple of clients that we successfully billed and were paid for without prior authorization but now claims have started being denied saying “precertification/authorization/notification absent”.  For some clients the requirements changed during the middle of their episode.

Along those same lines any help on how/where to submit an appeal to them?

Thank you!

Mary Hanson | Billing Specialist | River Valley Home Care Inc.

916 8th Street Farmington, MN 55024

Phone: 651-460-4201

Email: mhanson@rvhci.com