A message from NCMS Manager of Payer and Practice Engagement, Jenni Hines:
The NCMS is fully committed to understanding and addressing the needs of practices facing urgent payment issues with BCBSNC. We are currently working on items related to unilateral denials of labs and procedures with Avalon, claim denials specifically related to modifier -25 and unexplained provider removal from the SHP network. We understand the impact these delayed payment tactics have on your practices, and have been actively gathering feedback, collaborating with relevant stakeholders, and making progress towards meaningful improvements.
We are advocating for your concerns and doing everything possible to make a meaningful difference. Your issues are important to us, and we are committed to taking the necessary steps to address them.
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