Delay in Processing of Corrected Claims Continues

In December 2013, BCBSNC discovered a problem with the reprocessing of corrected claims and communicated their intent to have most of the claims resolved by the start of the new year. However, in early January a systems problem was revealed that showed many of the claims that had been reviewed and adjusted were recycled back through their claims system for processing, instead of releasing and paying as intended.  They’ve been working diligently to resolve the problem, and focusing staff on clearing out the inventory, which has led to slower processing of some claims while they’ve been working on these clean-up efforts.  New claims they receive are being processed uninterrupted as they work through this issue, although some claims are processing through the system at a slower speed than usual.