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CareFirst BCBS has implemented professional edits, and will be adding Institutional edits in March, to accept only the following values for Claim Filing Indicator Codes on Secondary claims where CareFirst is not the Primary Payer.
Institutional Claims: - When Loop 2320 Other Subscriber Information. If SBR01 = P, Loop 2320 Claim Filing Indicator Code: SBR09 must be MA, 12, BL, CI or ZZ
Professional Claims: - When Loop 2320 Other Subscriber Information. If SBR01 = P, Loop 2320 Claim Filing Indicator Code: SBR09 must be MB, 12, BL, CI or ZZ
Please include the valid Claim Filing Indicator Codes to avoid any claim rejections from the Payer.
Ref#676000
Posted Feb 19, 2024 - 15:49 EST
This incident affects: Institutional, Professional, and Batch.
Oklahoma City Clearinghouse