May 26, 2015
New Air Ambulance Editing for BCBSKS, HealthNow New York (HNNY), BlueCross and BlueShield of Western New York (BCBSWNY), BlueShield of Northeastern New York (BSNENY)
As a result of a recent Blue Cross and Blue Shield Association (BCBSA) claim filing guideline, Air ambulance providers must file claims to the local Blue plan in the service area where the patient point of pickup occurred based on zip code. BCBSKS, HNNY, BCBSWNY, BSNENY will soon be implementing new editing.
Editing will include validation of the zip code at point of pick up. If the zip code is not in the Plan's service area, the claim will be rejected. Editing will be implemented in 60 days.
Edit logic, edit code, and implementation date will be posted in the near future.