Importance of providing complete information for BlueCard® Medicaid claims

June 10, 2019

Through the BlueCard Program, providers can render services to patients who are enrolled in a Blue Cross® and Blue Shield®Plan – other than one offered by Independence – and patients can visit physicians or facilities within the Independence five-county service area (i.e., Bucks, Chester, Delaware, Montgomery, and Philadelphia counties) for treatment. 

Independence coordinates with other Blue Plans to process professional and institutional electronic billing for Host claims. We strive to pay claims in a timely manner, but missing details in a claim submission can delay the payment process or cause a claim rejection.

Common reasons for claim rejections

Be sure to complete all information fields in the claim. The claim cannot be processed if it is missing:

  • medical record number;
  • attending physician information, including National Provider Identifier, name, tax ID, and physical address;
  • name, dosage, and National Drug Code number.

More information

If you have questions about electronic claim submission guidelines, refer to the Independence Blue Cross HIPAA Transaction Standard Companion Guide, available on the Trading Partner Business Center. 

For more information about the BlueCard Program, visit the BlueCard section or email us at provider_communications@ibx.com.

Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.