As previously communicated in the June
2012 issues of Network Update, Empire BlueCross BlueShield has fully implemented the Blue Cross and Blue Shield Association (BCBSA) claim filing requirements for ancillary provider types.
Specific to independent laboratory providers billing on a HCFA 1500, the claim must show the referring physician’s information, including name and NPI in field 17B. If the referring information is invalid or blank, the claim will be rejected.
If you need more information about the BCBSA ancillary claim filing requirements, you may access an FAQ at empireblue.com>Providers & Facilities>Answers@Empire>Ancillary Claims Filing Requirements FAQs
, or contact your local Network Relations consultant.