BCBS of SC does not reimburse midwives, but most other out-of-state BCBS plans do. So, for our SC midwives, I send claims to BCBS of SC so they can forward them to the out-of-state plan. The problem is, they refuse to forward claims. They return our paper claims, and reject any e-claims we send. I have tried sending directly to the out-of-state plan with an explanation, but they insist claims must come through the local plan. I have spoken to the Medical Director twice about the problem and he just says it's a "system glitch" that they are working on (and have been for 2+ years now). Any ideas as to what my next step should be?
~Kelli Sugihara