Attention: If you have received a claim denial from Medicare Plus Blue for an invalid diagnosis code or no authorization, it is critical that you familiarize yourself with this information.
- Medicare Plus Blue has not been able to load ICD-10 code updates into their system, as of October 1, 2024, causing denials stating that an active code is invalid.
- Additionally, they have not been able to load authorizations with the new ICD-10 codes, so it is possible you could get a denial for no authorization.
Medicare Plus Blue is working to resolve the issue and trying to find a work-around until completed.
They are asking providers to hold all claims denied for invalid diagnosis code or no authorization until November 11, 2024. They wil adjust these claims and let you know when they have resolved the issue.
