Current Corporate Health Services Groups  

Following is the most current list of Corporate Health Services Groups that you can send electronically using BCBSAZ as the payer name. Remember that the group number must appear exactly as it is on the list or member’s ID card.

 

AZ Local Govt Employee Benefit

Arizona Metal Trades

Arizona Pipe Trades

Arizona Public Services (name changed: See

     Pinnacle West)

ASBAIT

Bar S Foods

Bashas

Borderland Construction Co Inc

CA Physicians Insurance Corp (CPIC)

City of Mesa

Camp Verde Schools

City of Nogales

City of Page

City of Scottsdale

Cochise Health Insurance Consortium

Desert De Oro

Dine' Schools Employee Benefit Plans

Embry Riddle Aeronautical University

Empire Southwest

Gilbert Public Schools Employee Trust Group

Gutierrez Palmenberg Inc

Hualapai Nation

Intl Brotherhood of Elec Workers

Natl Electrical Contractors Assoc

Lake Havasu City

Lake Havasu School Employee Benefit Trust

LaPaz Regional Hospital

Navapache Regional Medical Center

Navajo County Government

Navajo County Schools Employee Benefit Trust

Parker Unified School District

Pinal County Employee Benefit Trust

Pinnacle West  (formerly Arizona Public Services)

Prescott Unified School District 1

Salt River Project

Southwest Catholic Health Network

Southwestern Teamsters

State Comp Fund

Sun Mechanical Contracting, Inc.

Tucson Electric Power Company

U-Haul

United Food & Commercial Workers & Employers Arizona Health & Welfare Trust

Meatcutters & Employers Joint Health & Welfare Fund  

V.A.W. of America

WalMart

Washington Elementary School District

Western Growers Association

Yavapai Combined Trust Health Plan

Yuma Regional Medical Center

 

 

Messages from Trigon Blue Cross Blue Shield (payer ID = “ 820000)

1.  Implementation date for new electronic remittance format changed    Trigon  Blue Cross Blue Shield  (payer = (“ 820000”) has made changes the their electronic and paper remittances. The implementation date for the new electronic remittance format has been changed from December 12, 2000 to January 16, 2001. Remember that once the new format is implemented, files cannot be created in the "old" format.

 

Per a letter received from Trigon BCBS, changes will be made as follows:

Ø In accordance with the Fair Business Practices Act, 30 days notice will be given prior to claim retractions.

Ø You will receive the allowed amount on which we based our calculations.

The schedule for inclusion of Trigon HealthKeepers claims in the remittances, which was scheduled for 1st quarter 2001 will be revised. More information will follow regarding this.

 

2.  December 5, 2000 notice to all professional providers (excluding facilities) who file Medicare supplement claims  As you may be aware, TrailBlazer Health Enterprises is now the Medicare Part B carrier for Virginia. United HealthCare is no longer the carrier. Effective September 2000, the Medicare Supplement program at Trigon began receiving Medicare Part B claims directly from TrailBlazer Health Enterprises.  Since that time, the number of duplicate Medicare Supplement claims submitted by  providers has increased considerably.

Please do NOT file electronic/paper Medicare Supplement claims, as Trigon continues to receive these Medicare claims directly from the Medicare Part B carrier.  By avoiding duplicate submissions, you can save time and speed claims payment.

In the past, Medicare Part B remittances included a statement specifying that Medicare Supplement claims were being sent to Trigon for further payment consideration. The Medicare Part B remittances from TrailBlazer do not provide this statement.  However, TrailBlazer does include a special message code MA18 in the detail of each beneficiary's claim information.  The MA18 code - located to the left of the provider paid amount - indicates that the claim has been forwarded to a supplemental insurer.

Great-West Life requires valid POS on claims

Not supplying Place of Service Codes (POS) when submitting claims electronically to Great-West Life (Payer ID = “1389000”) will cause timely and costly delays in payment. Claims with missing POS codes on the service line are rejected and sent to paper for manual processing, due to “edit criteria” requirements within the Great-West Life (GWL) claims processing system.

When sending claims, it is very important that you populate the POS with a valid code. “Blanks” and “zero’s” should not be used. If the code is unknown, the default of ‘99’ should be used. Per-Se has made an update in the format to default a ‘99’ in the POS field, if no POS is supplied.

To avoid any confusion or delays, please make sure that all claims have a valid POS.

Thank you for placing your E-claim business with

Managed Data Systems during 2001!

We appreciate the confidence and trust you have in us,

and look forward to serving your needs in

2001

and beyond!