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Change to mass adjustments for outpatient fee schedule changes for IBC member claims 

December 1, 2011    


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.





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