Question BCBS, Covid-19 and Patient Responsibility

kstine713

Networker
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Hello all!

I wanted to check in and see if anyone else was having trouble getting BCBS to process Covid-19 related office visits with no patient responsibility? From the beginning of this pandemic, their website has promised providers that they would pay at 100% if the correct CPT and/or diagnosis codes were appended. Their patient website has also promised their covered lives would not have any responsibility. They are not processing our claims that way. We have called provider services, opened reconsiderations, sent appeals, and reached out to several provider representatives all to no avail. We have been holding on to these claims as we don't want our patients to be responsible for something they shouldn't. But, we cannot continue to hold on to these claims. Does anyone have any ideas on what we can do, or does anyone have experience with this happening?

Thank you!
Kaytie
 
Messages
3
Best answers
0
Hello all!

I wanted to check in and see if anyone else was having trouble getting BCBS to process Covid-19 related office visits with no patient responsibility? From the beginning of this pandemic, their website has promised providers that they would pay at 100% if the correct CPT and/or diagnosis codes were appended. Their patient website has also promised their covered lives would not have any responsibility. They are not processing our claims that way. We have called provider services, opened reconsiderations, sent appeals, and reached out to several provider representatives all to no avail. We have been holding on to these claims as we don't want our patients to be responsible for something they shouldn't. But, we cannot continue to hold on to these claims. Does anyone have any ideas on what we can do, or does anyone have experience with this happening?

Thank you!
Kaytie
We are struggling as well with this same situation.
 
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