Blue Cross AIC and HIT professional providers may see new rejection code when medical drug claims are incorrectly billed

Instead of current rejection code P579, Ambulatory Infusion Center and Home Infusion Therapy professional providers who participate with Blue Cross Blue Shield of Michigan may receive a new rejection code when a National Drug Code is billed for a drug not payable to their provider type and specialty. This change will begin in October and apply to commercial members.

The following message and code will appear on your provider voucher:

THIS SERVICE IS NOT PAID. THE CLAIM IS FOR A PRODUCT WHICH IS NOT PAYABLE BASED ON YOUR PROVIDER INDENTIFICATION NUMBER. UNLESS A BILLING ERROR WAS MADE, WE OWE NO PAYMENT FOR THIS SERVICE, NOR DOES YOUR PATIENT. (P669)