Skip to Content
Do you require the taxonomy code to be reported on any of the 837 formats and, if so, which ones? No. The addenda version removed this as a requirement. We will accept taxonomy, but it is not a required field. If applicable, are you going to continue to accept "J" codes? Yes. Are there any circumstances where you might require providers to use NDC codes on the 837? Yes, unclassified codes should be submitted with the NDC number. Will you be able to accept 999 claim lines? Yes. Do you allow zero charges on claims? (Page 159 of the 837 Implementation Guide) Yes. Do you allow negative charges on claims? No. Will you require a secondary identification number and, if so, what? (Pages 82 and 97) We need to receive either a 1A or 1B code qualifier, which is the BlueCross Provider Number. This number is the Tax Identification Number -- with or without a 3-digit suffix that identifies locations. We provided the 3-digit suffix to the providers during the provider certification process. When receiving claims in a batch mode, if one claim contains an error will just that claim reject or will you reject the entire batch? We perform edits at the batch level. So if there is a problem with one claim, we will return the entire batch. What is your payer secondary identification qualifier and reference identification? Here are the NAIC and carrier codes: NAIC Codes 38520: BlueCross BlueShield of South Carolina 95741: BlueChoice HealthPlan Carrier Codes 400: BlueCross BlueShield State Health Plan 401: Blue CrossBlue Shield 402: FEP BlueCross 922: BlueChoice® HealthPlan The following carrier codes are for those TPAs that use the Preferred Blue® network and are also accepted electronically. The carrier code is used to route these claims to the appropriate area, so it is imperative to use the appropriate carrier code for TPA members' claims. 886: Planned Administrators, Inc. (PAI) 315: Thomas Cooper 130: Employers Life Insurance Company 446: Employee Benefit Services dba Key Benefit Admin. 498: Carolina Benefit Administrators (CBA) Do you require Patient Secondary ID#? (Page 153) We do not currently require a secondary patient identifier. Do you require contract information? (Page 176) No. Will you require submitters to report Payer Estimated Amount Due? (Page 178) No. Will you require submitters to report Patient Estimated Amount Due? (Page 180) No. Will you require submitters to report Patient Paid Amount? (Page 182) No. With regard to Release of Information CLM09 and OI06, in your opinion is an "N" a legitimate code based on the Implementation Guide and Privacy regulations? (i.e., will you accept "l?") (Page 161) Based on privacy guidelines, it does not seem appropriate for a provider to file with an "N." Our Supplemental Implementation Guides, however, will allow any valid value.