QuoteIn October of last year our local blue stopped accepting paper claims and suddenly the easy fix that made everyone happy was gone. I’ve been working with two competent provider reps trying to overcome this obstacle but after 3 months of trial and error the solution remains elusive.Is this happening just for MSP (Medicare Secondary payor)? or is for all claims for your local BCBS? What state? If it's isolated to just your Medicare Secondaries I would think someone over at Medicare can advise you on these. The GY/GX modifiers are supposed to identify those non covered Medicare services right? QuoteThe GY modifier looks promising but at what point does a biller say enough is enough and let’s take it to the insurance commissioner or some other higher power?IF this is "commercial" and is JUST a BCBS thing it will depend on the payor's plan. ERISA plans for example don't involve the state dept of insurance, those are governed by the labor dept. That's why I'm thinking we need to know if this is JUST a problem with your MSP claims or not.
In October of last year our local blue stopped accepting paper claims and suddenly the easy fix that made everyone happy was gone. I’ve been working with two competent provider reps trying to overcome this obstacle but after 3 months of trial and error the solution remains elusive.
The GY modifier looks promising but at what point does a biller say enough is enough and let’s take it to the insurance commissioner or some other higher power?