In accordance with direction
from the Blue Cross and Blue Shield Association (BCBSA), mass adjustments for
outpatient fee schedule changes for IBC member claims will no longer directly
crossover from the Centers for Medicare & Medicaid Services to IBC.
When you receive the remittance advice
from Medicare, you will be able to confirm whether the claim has been
automatically forwarded (crossed over) to IBC. If the remittance indicates that
the claim was not crossed over, submit the claim to IBC electronically with
Frequency Code 7 to indicate the claim is a replacement of a prior claim.
The following are additional
frequency codes that you may need when submitting a claim:
- Frequency Code 5: For late
charges only
- Frequency Code 8:
Void/cancel a prior claim
Please contact your Network Coordinator
if you have any questions about this change.