Name of Manual - Blue Cross and Blue Shield of Minnesota

BlueCard®
Claims Processed by the Member’s Plan
Claims Notification If the member’s plan is processing the claim because it cannot go
through BlueCard processing, you will be notified on your weekly
electronic remittance advice (835).
The claim will be documented and the remark message will read,
“This claim has been forwarded to the subscriber’s home plan for
processing.” Contact Blue Cross for any information regarding
this claim, we will contact the member’s plan. You may bill the
member for these services.
Policies Since this is not a BlueCard eligible claim, your Blue Cross
provider agreement generally does not apply.
Adjustments Communicate your adjustment request with Blue Cross. We will
contact the member’s plan on your behalf.
Appeals Please refer to Chapter 10 for information regarding appeals.
7-14 Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (12/30/10)