July 02, 2018
Area(s) of Interest: AB 72 Payor Issues and Reimbursement Practice Management Out of Network Billing
Last year, the California Medical Association (CMA) worked with Blue Shield of California to correct two issues affecting accurate payment of claims subject to the state’s new out-of-network billing and payment law (AB 72). The issues were identified as being due to manual claim processing errors, because the payor had not yet updated its system to allow automated processing of claims subject to AB 72.
Blue Shield recently announced it was implementing a system update on June 28, 2018, that will allow claims subject to AB 72 to be processed automatically. The payor reports it will conduct regular audits of these claims post-automation to ensure accuracy.
Practices with additional questions or concerns can contact CMA’s Reimbursement Helpline at (800) 786-4262 or email@example.com.