Medicare AdvantageAdministrativeMedium impact
MAPAP215 - Claims Status and Corrected Claims - Added additional instructions for submitting corrected claims
Blue Cross of Idaho·ID·Medical Policy
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho Medicare Advantage updated their claims status and corrected claims policy (MAPAP215) with additional instructions for submitting corrected claims. Key changes include requiring complete 12-digit claim numbers, submitting all claim lines (not just corrected ones), and limiting corrected claim submissions to one per day per claim.
Action Required
Immediately: Train billing team on new corrected claims requirements - always include complete 12-digit claim number from remittance advice, submit ALL lines on corrected claims (not just the line being corrected), and limit corrected claim submissions to maximum one per day per claim. Update billing procedures to check claim number endings ('00' = first processing, '01'/'02' etc. = number of previous adjustments). Ensure staff understands 12-month filing deadline from date of service for Medicare Advantage claims.