Author: Marc Abla, CAE

BlueCross BlueShield of Illinois Modifier Denial Update and Survey

BlueCross BlueShield of Illinois Modifier Denial Update and Survey

The Illinois Chiropractic Society has continued efforts to assist our doctors’ handling of the BlueCross BlueShield of Illinois (BCBSIL) claims processing protocol that began in November 2017. When applied, this BCBSIL claim edit, described by BCBSIL as “code-auditing enhancement” via “clinically validating modifiers,” automatically denies some providers’ claims on codes that require the modifiers 25 or 59 (including XE, XS, XP, XU). The issue is complex and presents difficult challenges for our doctors to be able to effectively examine and treat their patients.

Read More

Select A Category

Recent Articles