Medium impact
PAP208 - From and To Dates of Service on a CMS 1500 - Updated first bullet under Service Dates (Box 24A) to not deny claim but to make to and from dates the same if left blank. Updated Exceptions 1. And 2. To include return/deny claims. Moved language from Exceptions 1. To 2. And added a number 3 to separate instances.
Blue Cross of Idaho·Effective Jun 1, 2025
Blue Cross of Idaho updated their CMS 1500 billing policy for Box 24A service dates. If providers leave the 'to' date blank but fill in the 'from' date, the insurer will now automatically make both dates the same instead of denying the claim. The exceptions for specific procedure codes (59425, 59426, 77427) now clearly state claims will be returned/denied if not billed correctly.