All PlansAdministrativeMedium impact
Time Sensitive: Policies and Handbook
Blue Cross Blue Shield of Vermont·VT·Provider News
We identified it
Jul 1, 2026
Summary
Blue Cross Vermont updated Section 6.1 of the Provider Handbook to require that corrected paper claims for members with other primary insurance must now include the primary carrier's Explanation of Benefits (EOB). This clarification affects the claims correction submission process and requires billing teams to obtain and attach EOB documentation before resubmitting corrected claims for patients with dual coverage.
Action Required
Immediately: Billing team must update corrected claims procedures to require EOB attachment from primary carriers for all paper claims submitted on behalf of members with other insurance as primary. Update claim submission checklists and staff training materials to include this requirement. Implement a verification step before submitting corrected claims to confirm EOB is attached. Failure to include the primary carrier EOB with corrected claims may result in claim rejections or delays.