It is clear they are not differentiating between MA versus Medicare claims. Even though the billing codes are different. 
Any thoughts how to approach or make them aware and find out how to proceed. 
Thanks 
Nazneen Khatoon 
Sent from my iPhone

On Feb 21, 2024, at 8:47 AM, Salin, Tracy M - Tracy.Salin at fairview.org (via billers list) <billers@list.mnhomecare.org> wrote:



So they are not understanding this is NOT a Medicaid claim. It is a Medicare claim billed to BCBS.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Wednesday, February 21, 2024 8:40 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: BCBS MSHO claims

 

This is the response I got back from availity on my BCBS MSHO claims being rejected in the clearinghouse. So this basically means no more PDGM billing for BCBS policies is what I'm getting out of it? Has anyone else heard this from any of the

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This is the response I got back from availity on my BCBS MSHO claims being rejected in the clearinghouse.  So this basically means no more PDGM billing for BCBS policies is what I'm getting out of it?  Has anyone else heard this from any of the tickets you have out with clearinghouses??

 

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Crisa Mortenson

Billing Officer

 Phone: 218-843-3852

Fax : 218-843-2311

Email: crisa.mortenson@kmhc.net

 1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

 

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