There are a couple of changes Michigan customers billing through the BCBSM clearinghouse need to know about:

1. Blue Cross Complete must be billed as an HMO so be sure the “Payment Source” is set to “I – HMO” on the “Insurance Header” screen for any Blue Cross Complete insurance policies.  These policies can be identified by the unique insured’s id prefix of “XYU“.

2. Great Lakes Health is now United Healthcare Community Plan.  Be sure to change the name and set the “Payer Id” to “95467” as well as the “Claim Office” number to “2744” on the “Insurance Company” screen.

Setup Status Inquiry Billing:

1. click the [Patient] menu then [Post Insurance Payment]
2. click [Add’l Options]
3. select “Status Inquiry” in the [Posting Options] box
4. enter the appropriate status inquiry type (ie: Corrected) by clicking the [SI Type] column heading.
5. enter the appropriate [Document Number] associated with the claim.
6. (optional) an additional narrative (up to 40 characters) can be entered to assist in the adjudication of the claim.  The narrative will be reported
   1. per service line when billed electronically (ie: “originally billed as primary”)
   2. printed in box 19 on paper claims (ie: “Corrected”)

To enter a narrative …

select “Narrative” in the [Posting Options] box

type your narrative in the [Extra Narrative] column

Run Status Inquiry Billing:

1. click the [Billing] menu then [Insurance Billing]
2. select the appropriate “Billing Form“
3. change “Status Inquiry” to “Yes“
4. continue running the billing as you normally would