OSP News

Blue Cross Complete’s Clarification: Claims Submission and Processing Guidelines for Referring Providers

Posted: 11/25/2024

Claims for referring physicians must be submitted with a valid provider type and unique NPI. The referring provider must be an M.D., D.O., physician assistant, nurse practitioner or certified nurse-midwife. The rendering and referring provider cannot have the same NPI. If any of these data elements are missing or invalid, the claim will be denied.

Click here to read the full announcement put out by Blue Cross Complete. 

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