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.

We are now moving into the next major phase of action on this issue with BlueCross BlueShield of Illinois and are asking for your assistance. The ICS needs some specific data for our research, discussion, and consultation with industry experts, health care allies, and attorneys.

Please take the next 2 minutes to complete the following survey, as this information is critical to our next step: www.ilchiro.org/modifierdenials

About Author

Marc Abla, CAE

Marc Abla began working at the Illinois Chiropractic Society in 2002 and became the Executive Director in 2008. He brings his extensive financial, administrative and association experience to the ICS. He is a Certified Association Executive and a graduate of the Certified Leadership Series through the Illinois Society of Association Executives. Additionally, he is a member of the Illinois Society of Association Executives, the American Society of Association Executives, Association Forum, Congress of Chiropractic State Associations, and the American Chiropractic Association.


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