CommercialAdministrativeMedium impact
Electronically submitted Secondary Claim submissions for Federal Employee Program
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Oct 5, 2020
We identified it
Jun 19, 2026
Summary
Starting October 5, 2020, all electronically submitted secondary claims for Federal Employee Program enrollees must include line-level primary payer information in the 2430 loop, including claim adjustment reason codes. This ensures accurate secondary benefit determination and reimbursement.
Action Required
By October 5, 2020: Billing team must update electronic claim submission system to include line-level primary payer information in the 2430 loop for all Federal Employee Program secondary claims. Ensure claim adjustment reason codes from primary payer are included. Configure billing software to require this data before claim submission. Without this information, secondary claims may be denied or processed incorrectly.