Government Programs: 835 Electronic Remittance Advice (835 ERA) Files

Providers who enrolled between Dec. 1, 2016, and Dec. 30, 2016, to receive the 835 ERA from Blue Cross and Blue Shield of Oklahoma (BCBSOK) may be missing ERA files for Medicare Advantage claims.* This information applies to claims submitted for the following BCBSOK members:

• Blue Cross Medicare Advantage (PPO)^SM (MA PPO)
• Blue Cross Medicare Advantage (HMO)^SM (MA HMO)

BCBSOK is in the process of correcting this issue and a resolution is scheduled to be completed by mid-March 2017 to help ensure that impacted providers continue receiving future ERA files for auto-posting of payments. In the interim, for applying payments, impacted providers may refer to their paper Provider Claim Summaries (PCSs), which are sent by regular mail for government programs claims.

More information regarding your 835 ERA delivery may be obtained from your designated clearinghouse or vendor. Please note that ERA files cannot be reloaded for Medicare Advantage claims.

We appreciate your patience and apologize for any inconvenience that this issue may have caused your practice.

*The above notice applies to BCBSOK providers contracted with Government Programs only.

Non-contracted Government program providers servicing the above referenced BCBSOK members must refer to their mailed paper check and PCS for payment information, even if they are enrolled to receive the ERA and Electronic Funds Transfer (EFT) from BCBSOK.