La Cruz Azul and U.S. Virgin Island claims run-out period
Triple-S Management Corporation, the Blue Shield licensee in Puerto Rico, signed a definitive agreement to acquire certain managed care assets of La Cruz Azul de Puerto Rico, Inc. (Blue Cross of Puerto Rico). All La Cruz Azul membership was enrolled with Triple-S effective July 1, 2009.
The La Cruz Azul licensee operates under Plan Code 470 and has active alpha prefixes ZTA, ZTB, ZTC and ZTD. Because of the acquisition, providers should no longer accept Blue ID cards with these alpha prefixes.
Claims run-out period for La Cruz Azul
The claims par/host and control/home licensee run-out period for La Cruz Azul ended Dec. 31, 2009.
Institutional services incurred in Puerto Rico on or before June 30, 2009 will be processed through BlueCard by La Cruz Azul. Professional and Institutional services incurred in Puerto Rico on or after July 1, 2009, will be processed through BlueCard by Triple-S. Members will continue to use the BlueCard Program for access to professional and institutional Puerto Rico providers supported by Triple-S. Provider information remains available through both the Blue National Doctor & Hospital Finder and 800-810-BLUE.
La Cruz Azul members who have received services from providers outside of the Puerto Rico service territory but within another Blue Plan’s service territory on or before June 30, 2009 will be processed through BlueCard. Any claim received on or after Jan. 1, 2010, regardless of the date of service, will not be processed through ITS.
Claims run-out period for U.S. Virgin Islands
Effective July 1, 2009, Triple-S assumed responsibility for processing U.S. Virgin Islands host claims. The claims run-out period is July 01, 2009 to Jan. 31, 2010. Services incurred in U.S. Virgin Islands on or before June 30, 2009 will be processed through BlueCard by Independence Blue Cross just as they are today. Services incurred in U.S. Virgin Islands on or after July 01, 2009 will be processed through BlueCard by
Triple-S.