CMA has learned that Blue Cross claims with early June dates of service were paid at the new Blue Cross fee schedule, even though implementation of the new fees was delayed until August 6.

The affected claims were paid prior to Blue Cross’s official decision to delay implementation of the fee schedule. Physicians do not need to appeal or resubmit these claims. Claims will automatically be readjudicated.

As previously reported, Blue Cross failed to provide physicians with timely access to the new fee schedule, leaving many physicians unable to assess the financial impact that the fee schedule changes would have on their practices.

The Department of Managed Health Care (DMHC), responding to complaints from hundreds of CMA physicians, forced Blue Cross to delay implementation of the fee schedule and take appropriate measures to notify doctors of the rate changes.

The new fee schedule has now been posted at the Blue Cross provider website. Click here to download the new fee schedule.

Contact: CMA’s Reimbursement Help Line, 888/401-5911 or jblack@cmanet.org.