HealthCare News

Use of Frequency Type 7 for Out-of-State Members

Issue: #410 SEP2019

Topic: Education

Blue Cross Blue Shield of North Dakota (BCBSND) previously issued guidance regarding the claim correction process used for claims processed on the new claims processing platform. If Frequency Type 7 is submitted on an original claim for Out-of-State BCBSND members, providers are not able to submit another Frequency Code 7 claim or it will reject as a duplicate. If a second corrected claim needs to be submitted, the original claim with previous corrections will need to be voided as billed in error (Frequency Code 8) and a new claim (Frequency Type 1) with the corrected changes will need to be submitted.