Author Topic: Blue Shield - California  (Read 855 times)

cflorez

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Blue Shield - California
« on: February 19, 2019, 10:04:20 PM »
I am a Medical Biller, I recently signed up  two separate Provider Practice in California. Both for Oral Surgery. I submitted claims to Blue Shield for both providers. Both providers claims got rejected from the clearing house. The clearning house stated I needed to contact blue shield regarding the doctor's NPI and information. I verified information with Blue shield that both NPI and information was correct. Provider was enrolled as a out of network provider. However, my claims still will not clear the clearing house. So I must drop to paper to Blue shield. Any suggestions as to what is the problem.

PMRNC

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Re: Blue Shield - California
« Reply #1 on: February 20, 2019, 02:37:00 AM »
Quote
The clearning house stated I needed to contact blue shield regarding the doctor's NPI and information. I verified information with Blue shield that both NPI and information was correct. Provider was enrolled as a out of network provider. However, my claims still will not clear the clearing house. So I must drop to paper to Blue shield. Any suggestions as to what is the problem.


What rejection are you getting?? if these are for oral surgery, might you need to contract with dental?
Linda Walker
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Re: Blue Shield - California
« Reply #1 on: February 20, 2019, 02:37:00 AM »