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Update: Prime Therapeutics Post-Service Claim Edits Program

Blue Cross Blue Shield of Kansas·KS·Provider News
Effective date
Not stated
We identified it
Jul 2, 2026
Days to comply
—

Summary

Prime Therapeutics has delayed the Post-Service Claim Edits (PSCE) program go-live from July 1, 2026, to an unspecified future date pending additional testing and validation. Billing teams should monitor for updated communication from Prime Therapeutics with the new effective date and revised PSCE policies.

Action Required

Action needed
No immediate action required. Billing team should: (1) Monitor Prime Therapeutics communications and BCBS Kansas provider updates for notification of testing completion and final effective date; (2) When new effective date is announced, review updated PSCE-related policies; (3) Prepare system and workflow modifications in advance of the rescheduled go-live date to minimize disruption. Do not implement PSCE program changes until official notification confirms testing is complete.

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