Use of Frequency Type 7 for Out-of-State Members
Issue: #410 SEP2019
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.