How is an 837 claim that has more than 28 lines handled within Blue Cross?

We accept the HIPAA limits—50 lines for Professional claims and 98 lines for Institutional claims. If a professional claim has more than 50 lines, it is rejected up front and will appear on your Provider Control Report. If we receive an institutional claim with more than 98 lines, the claim is split manually.

Audience:

Categories:

Node Weight: 
6
Answer Summary: 
We accept the HIPAA limits—50 lines for Professional claims and 98 lines for Institutional claims.