January 14, 2011
All Blue Cross Contracting ProvidersFrom:
Cindy Garrison, CPC – Education/Communication Coordinator
Blue Cross and Blue Shield of Kansas, Inc.
An Independent Licensee of the Blue Cross and Blue Shield Association
Authenticating a Provider
When a provider calls Blue Cross and Blue Shield of Kansas (BCBSKS) they are authenticated before assistance is provided with their inquiry. The same is true for Web inquiries. This has been going on for many years and is nothing new to our provider community.
Starting January 24, 2011, BCBSKS will require the same authentication step on ALL written inquires. This will include anything from a claims status request to a predetermination.
The one piece of information we need from the provider to authenticate a written inquiry is either their National Provider Identifier (NPI) or their Tax Identification number. When this information is not included in the inquiry, the inquiry will be returned to the provider asking you to resubmit your inquiry with this information for authentication purposes.
It is always our intent to provide you with the best service possible while still complying with industry regulations. If you have any questions regarding this new authentication process, please contact your provider consultant.
Please be sure to share this newsletter with all areas of your facility that will be submitting written inquires to BCBSKS.