Using Payspan to research claim adjustments can help you better understand our payments to you.
When Blue Cross adjusts a claim to reduce the original payment, our claim system creates an accounts receivable or “A/R” transaction. We notify you by creating both a provider payment advisory and a provider detail advisory. Advisories will indicate:
The net payment amount is equal to the total of all paid claims, minus the A/R deductions.
Monitor your advisories
Review your advisories regularly for A/R Created notifications. If the messaging indicates that there is patient or other insurance liability, pursue payment promptly. Don’t wait for the A/R Deduct before taking action.
How to research deductions
There are several ways to get information about your payments and A/R amounts taken.
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Use Payspan to find out if you have any claim adjustments. Go to the end of your provider payment advisory where we list A/R information. Or, go to “BCBSMA Posting Report” in Payspan.
Provider Payment Advisory sample Posting report sample |
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Search by claim number to get your Provider Detail Advisory. Tip: Enter only the first 12 digits followed by * for the best results. |
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Look at the Provider Detail Advisory to find any messages about the reason for the claim adjustment. We use both standard HIPAA-compliant messages and messages we customize.
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Other helpful information about our claim processing
When researching deductions, it helps to understand our claim numbering system. The base claim number, 12 digits, is followed by a two-digit code that counts claim activities.
Sample claim number | Claim event |
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23131234567800 | We processed claim |
23131234567801 | We adjusted claim |
23131234567802 | Our system created an advisory |