MedicaidAdministrativeMedium impact
HCBSPAP214 - Claims Status and Corrected Claims - Added clarification for corrected claims
Blue Cross of Idaho·ID·Medical Policy
Effective date
Jul 1, 2024
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their corrected claims policy to add new clarifications for the submission process. The policy reinforces existing requirements for timely filing within 12 months and provides clearer guidance on when to use corrected claims versus new claims, with specific frequency codes for different correction types.
Action Required
Immediately: Billing team should review corrected claims procedures to ensure compliance with clarified guidelines. Verify that billing software correctly uses frequency codes 5, 7, and 8 for different correction types. Ensure original Blue Cross of Idaho claim numbers are included in Loop 2300 segment REF02 for electronic submissions to avoid rejections. Train staff on when to submit corrected claims versus new claims to prevent processing delays.