February 2017

Blue Cross Medicare Advantage^SM: Claim Rejections for Taxonomy Code 

Taxonomy codes are not required on claims submitted for Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Medicare Advantage (HMO)^SM members. However, due to a recent system issue, electronic Blue Cross Medicare Advantage claims submitted with Payer ID 66006 Jan. 1, 2017, through Jan. 11, 2017, may have been rejected for a missing provider taxonomy code.

The following error message was returned for those affected claims: “The provider information segment (loop 2000A, PRV) must be submitted because the provider’s taxonomy code impacts adjudication.”

The system issue causing the rejected claims was resolved as of Jan. 11, 2017. Providers who were impacted by this issue must resubmit the rejected claims for processing and adjudication.

As a reminder, the preferred method for claim submission is electronically. Government programs claims may not be submitted via fax.

If you have questions or need assistance, contract your Medicare Advantage Network Representative, Sherrie Pippin (918) 551-2175.