New Go-Live Date: Prime’s Post-Service Claim Edits

July 13 Effective Date for Prime Therapeutics Post-Service Claim Edits Program

The Prime Therapeutics Post-Service Claim Edits (PSCE) program will go live on July 13, 2026. In collaboration with Prime Therapeutics, Blue Cross and Blue Shield of Kansas (BCBSKS) has completed additional testing and validation activities to help ensure a smooth and seamless transition for providers. 

As previously communicated, the PSCE program applies automated post-service claim edits for select physician-administered drugs billed under the medical benefit. No changes to current claim submission processes are required. Providers should continue submitting claims in accordance with existing BCBSKS requirements. 

For additional program information and resources, please review:

• Prime Therapeutics Post-Service Claim Edits Program
• Update: Prime Therapeutics Post-Service Claim Edits Program

Thank you for your patience throughout the implementation process and for your continued partnership in providing high-quality care to our members.