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Blue Shield of California and Blue Shield of California Promise Health Plan Notification - Incident Resolved
Posted by Sheila Odeen on 11 September 2019 10:28 AM |
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IMPORTANT_06/07/2019 - 06/08/2019 AETNA UPGRADE - IMPACT TO REAL TIME PROCESSING
Posted by Sheila Odeen on 06 June 2019 01:40 PM |
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Subject: Aetna Upgrade
Date: Friday, June 7, 2019 - Saturday, June 8, 2019
Real Time: Submitters of Real Time transactions may experience timeouts for Real Time Eligibility, Claim Status Inquiry, Precert Add & Inquiry, and Referral Add & Inquiry transactions on Friday, June 7, 2019 from 11:00 PM ET to approximately 1:00 AM ET on Saturday, June 8,
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Beacon Health Options Claim Responses
Posted by Sheila Odeen on 09 May 2019 05:19 PM |
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Beacon Health Options (Beacon), in collaboration with Office Ally, has upgraded its electronic claims submission application effective April 17, 2019.
The upgraded claims submission process includes the implementation of new claims edits. These edits are in line with industry standards and designed to ensure that claims submitted to Beacon have all of the data elements required to be considered clean claims, and pass HIPAA standards published by The Centers for Medicare
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Aetna - Issue with Medicare home health claims received with value code 85.
Posted by Sheila Odeen on 02 May 2019 04:54 PM |
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Date: May 2, 2019
Purpose: We’d like to tell you about certain home health claims we previously rejected.
Overview: In March, we identified an issue with Medicare Advantage home health claims. The claims had service dates in 2018 and 2019, and all were received on or after March 7, 2019, with the new value code 85 (“County Where Service Is Rendered”). In our claim status
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IMPORTANT _03/31/2019 - AETNA UPGRADE - IMPACT TO REAL TIME PROCESSING
Posted by Sheila Odeen on 28 March 2019 10:04 AM |
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Date: Sunday, March 31, 2019
Real Time: Submitters of Real Time transactions may experience timeouts for Real Time Eligibility, Claim Status Inquiry, Precert Add & Inquiry, and Referral Add & Inquiry transactions on Sunday, March 31, 2019 from 5:00 AM ET to 8:30 AM ET.
Impact: Low Questions: Please direct any questions to the EDI Production Control
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UPDATE: FW: Blue Shield of California Promise Health Plan (Blue Shield Promise) Electronic Funds Transfers
Posted by Sheila Odeen on 21 March 2019 01:41 PM |
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Update:
Good Morning,
As to the alert listed below, BSC Promise was able to identify the concern around double deposits made to providers.
A fix was created, tested and deployed to production the evening of March 19th..
EFT files were held beginning 3/14 until this fix was implemented and said files were released for funding to our bank, yesterday, March 20th.
Please continue to advise
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