Hi BCBSIL Team, I hope you are doing well. We have several Federal IDR disputes that were decided in provider's favor by the Certified IDR Entity (IDRE); however, BCBS has not yet issued the awarded payments. According to CMS guidelines, the non-prev

Hi

We have several Federal IDR disputes that were decided in the provider's favor by the Certified IDR Entity (IDRE); however, BCBS has not issued the awarded payments. Under CMS regulations, payment must be made within 30 calendar days of the Final Payment Determination.

We have contacted BCBS customer service and emailed idr_ds_support_team@bcbstx.com, but have not received any assistance or response.

Could you please direct us to the appropriate department or contact that handles unpaid Federal IDR Final Payment Determinations and can assist with resolving these outstanding payments?

Parents Reply
  • Could you please confirm whether there is currently a backlog or processing delay affecting Federal IDR payments? We have noticed that BCBS is no longer issuing payments in the same manner as before. Previously, we received payments that matched the full IDR awarded amounts, often exceeding $100,000 or $200,000. However, recently, we have only been receiving smaller payments, while many larger awarded amounts remain outstanding.

    We would appreciate any clarification regarding the status of these payments and whether there are any internal delays impacting their release

Children
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