BCBS is paying the provider out of network, A lot of billings are coming back we are out of network and reduced coverage- IN ERROR , we are in network? Was there a error in the software at BCBS Il? thanks, Sandy RN

I had this same problem, only to find out BCBS terminated for without notice as a provider. Check your status as a provider and make sure you are still active! I am still looking for answers. 

I am in a similar situation. Did you ever get this resolved? One good thing is that I am still listed as a in-network provider, and I received a referral from BCBS last week, however, my patient's claims are all being processed as out-of-network.

We were in network and never kicked out of network so technically nothing changed other than the plan processing them as out of network and the more work it was to get fixed never got an anwer at the end of it,

I hear that you lost out on payment, but was the issue resolved, going forward? Were you out-of- network or did you end up getting back in-network. 

It was a mess and basically no one helped. We were told by the Illinois ins commissioner that it depended on each plan individually. My biller had to reprosses them all and then they came back duplicate. I think we lost a lot of payments.

sorry but it was unhelpful with bcbs,

Sandy

It was a mess and basically no one helped. We were told by the Illinois ins commissioner that it depended on each plan individually. My biller had to reprosses them all and then they came back duplicate. I think we lost a lot of payments.

sorry but it was unhelpful with bcbs,

Sandy

We were in network and never kicked out of network so technically nothing changed other than the plan processing them as out of network and the more work it was to get fixed never got an anwer at the end of it,

I hear that you lost out on payment, but was the issue resolved, going forward? Were you out-of- network or did you end up getting back in-network.