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BCBS of AL Update: Some Surgery Claims Being Reprocessed

After the implementation of the Surgery-Related Claims Filing Updates, BCBS of AL identified modifications needed in the programming to correct reimbursement amounts for scenarios involving bilateral procedures and/or multiple surgeries.

BCBS of AL identified impacted claims and are being reprocessed with the corrected allowances as soon as possible. Do not file a correction on any of the claims that paid incorrectly.

Watch the “Surgery-Related Claims Filing Updates” webcast at AlabamaBlue.com/TimelyTopics for more information about these changes.

For a list of indicators and their definitions, refer to CMS PFS Relative Value files.

Information obtained from BCBS of AL Provider News Update