Claims Denials Claiming ICD-10-CM Problems?

Several members have contacted the ICS this week about claim denials from Blue Cross Blue Shield of Illinois (BCBSIL). It appears that BCBSIL has begun to use a claims edit process called “Excludes1” described in ICD-10. This process may result in certain claim denials, as explained in the video. ICS Members can also access the ICD-10 reference sheet here.

Important Note: The video indicates to “resubmit” the bill. Instead, please file a corrected claim. Do not resubmit – file a corrected claim.


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The Illinois Chiropractic Society staff works collaboratively on many topics to bring the most comprehensive and relevant information to our members. We have over 60 years of chiropractic experience and understand the heartbeat of the profession. We all look forward to providing relevant information to our members for years to come.

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