Blue Cross Medicare AdvantageSM: Claim Rejections for Taxonomy Code

Jan. 27, 2017

Taxonomy codes are not required on claims submitted for Blue Cross Medicare Advantage (PPO)SM and Blue Cross Medicare Advantage (HMO)SM members. However, due to a recent system issue, electronic Blue Cross Medicare Advantage claims submitted with Payer ID 66006 January 1, 2017, through January 11, 2017, may have been rejected for a missing provider taxonomy code.

The following error message was returned for those affected claims: “The provider information segment (loop 2000A, PRV) must be submitted because the provider’s taxonomy code impacts adjudication.”

The system issue causing the rejected claims was resolved as of January 11, 2017. Providers who were impacted by this issue must resubmit the rejected claims for processing and adjudication.

As a reminder, the preferred method for claim submission is electronically. Government programs claims may not be submitted via fax.

We appreciate your patience and apologize for any inconvenience that this issue may have caused your practice.