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July 2019

Reminder: Indicating that services are related to auto accidents on claims

If you provide services to a patient who has been in an auto accident and the services are related to the accident, be sure to indicate that on the claim you submit to Blue Cross Blue Shield of Michigan.

For most claims of this type, the auto insurance company is the primary carrier, and we need to know that when processing these claims. Include the information below when submitting these claims.

For electronic claims:

Facility claims
Loop 2300 HI*BH* and report occurrence code 01 or 02 to indicate auto-related

Professional claims
Loop 2300 DTP*439* (accident date) Loop 2300 CLM11-1 with qualifier AA (auto accident)

For paper claims:

Facility claims
Submit with an occurrence code (either 01 or 02) to indicate that it was an auto accident.

Professional claims
Submit checking the auto-related indicator.

More information about submitting claims related to auto accidents is available in your provider manual on web-DENIS.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2018 American Medical Association. All rights reserved.
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