August 9, 2013
All Blue Cross and Blue Shield of Kansas Contracting ProvidersFrom:
Connie Winkley – Education/Communication Coordinator
Institutional Provider Relations
Blue Cross and Blue Shield of Kansas, Inc.
An Independent Licensee of the Blue Cross and Blue Shield Association
Other Payer Liability (OPL) Newsletter Correction
This newsletter is being written as a correction to a statement in a previous BCBSKS Newsletter published on July 12, 2013. The subject of that newsletter was Other Payer Liability (OPL); Self-service web tools. This OPL Newsletter published stated that Other Party Liability (OPL) information is needed from the member, which is indicated on the RA with OP in the CNTR column and a “17” in the ADJUSTMENT REASON CODE column; however that is not correct information and 17 is not being used.
The current list of adjustment reason codes does not include a "17". That code was deactivated and the correct code is now "227".
BCBSKS apologizes for any confusion this may have caused for our providers. If you have questions on OPL denial claims contact the OPL department at 1-800-430-1274 or 1-785-291-4013 (Topeka).
If you have questions regarding this information, please contact your Institutional Relations Provider Representative. Denny Hartman can be reached at 1-316-269-1602, Cindy Garrison at 1-785-291-8862 and Janne Adams-Denton at 1-785-291-8813.