BCBS – Claims to Be Rejected for Missing or Incorrect Information

BCBS Regence will begin rejecting claims processed on or after November 1, 2021, that are missing certain information.

 

The claim rejection (ANSI 277CA) will include details about what is missing or invalid on the claim so you can resubmit it with the complete and correct information.

 

Rejection reason A6:145: The rendering provider’s taxonomy code is missing, which prevents us from reimbursing based on the correct specialty. Add the taxonomy code and then resubmit the claim.

 

Rejection reason A6:562: The rendering provider’s National Provider Identifier (NPI) is not set up in our system. Submit an updated Provider Information Update Form; allow two weeks before resubmitting your claim.

 

Rejection reason A7:128: The rendering provider’s NPI is not associated with the tax ID in our system. Submit an updated Provider Information Update Form; allow two weeks before resubmitting your claim.

 

Reject reason A7:147: The rendering provider’s degree/designation is ineligible for claims submission.

Source: https://www.regence.com/provider/library/monthly-change-summary/november-2021