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BCBSNC to decrease claims payment runs beginning October 15, 2010

Today Blue Cross and Blue Shield of North Carolina (BCBSNC) makes claims payment runs in excess of twenty (20) times a week. Effective October 15, 2010, BCBSNC will start decreasing the number of times each week we make payments for certain lines of business. Lines of business that will be impacted include our Group, ASO, Individual, Federal Employee Program, Blue Medicare SupplementSM (non-Medicare Advantage plans) and Inter-Plan Programs (BlueCard® Out-of-State) products. The reduction in claims payment runs will take place over a number of months.

Consolidation of claims payments and reductions in the number of claims payment runs will allow BCBSNC the needed time to repair any claims before payments are sent, increase accuracy of payments and ultimately result in fewer claims adjustments and refund requests made to you, our providers.

No changes are planned for the State Health Plan for Teachers and State Employees.

If you have any questions about how this will impact your organization, please contact your local Network Management field staff.