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Dictionary Set up for Medicare Plus Blue or Medicare Advantage Plans from BCBS
or BCN
1. From the Insurance Library #4 / #6 and pull up the code currently used for MEDICARE ( Usually "MR" ) and make use of the "K" to COPY feature to create a new code to identify the Medicare-Plus-Blue policy.
SUGGESTION: MRPB or MRADV or BCNADV.
Procedure:
Steps:
A. Change the name and address copied from the Medicare code to the BCBSM address: (PO Box 440 Southfield, MI 48034-0440)
B. Put the 5 digit number 00710 in the payer ID field #19: "00710"
( zero - zero - seven - one - zero ) for Michigan.
C. LEAVE EVERYTHING ELSE THE SAME AS MEDCARE. ( EXAMPLE: FORM, TELECOM ETC )
D. SAVE AND USE THIS CARRIER CODE FOR YOUR MEDICARE/BLUE PATIENTS.
| FIELD 9: |
MR |
| FIELD 10: |
MR |
| FIELD 11: |
CO |
| FIELD 12: |
MR |
2. Add the MRBP provider numbers to each Provider. You may use the (K)opy feature and copy the Medicare Provider numbers to the new MRBP carrier code.
Steps:
1. Pull up the "MR" provider number screen.
2. Enter "K" at the command line and change the "MR" to "MRBP"
3. Save and Exit - Repeat for all providers.
Note: The Medicare Plus Blue requires the Medicare 10 digit PPI in Field #7, the 7 Digit in Field#8 and the UPIN in Field#9,
Taxonomy in Field #10, NPI attending in field #11 and Corp NPI in Field #12.
If a Corp NPI is not available, repeat the attending
NPI in field #12.
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