04/29/2021

Additional Update Regarding BCBSM/AIM Denials for “No Authorization”

Additional Update Regarding BCBSM/AIM Denials for “No Authorization”

As a follow-up to our previous Alert, MSHO met with BCBSM and have some clarifying information to share with our membership.

*If you have any outstanding Medicare Plus Blue or BCBSM Commercial claims that have been denied for “no authorization” when an authorization was obtained and was on the claim, you can create a spreadsheet which includes the information requested (below) and submit the spreadsheet to the appropriate area for prompt adjudication and payment:

• BCN Commercial and BCBSM Commercial claims affected by this specific issue can be sent directly to Candice McCoy at cmccoy@bcbsm.com and she will forward to the appropriate areas for processing
  
  
• Medicare Plus Blue and BCNA claims affected by this specific issue can be sent to the following mailbox:  MASRX@BCBSM.COM

IMPORTANT

Spreadsheets must include the following information for each denial:

• Member Name
• Member ID
• ICN/Claim No.
• CPT Code
• Approved AIM Auth

If you have any questions about this alert, please contact MSHO at billing@msho.org