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December 2023

Update: We’re migrating Medicare Plus Blue membership to NASCO beginning in 2024

In the March and October issues of The Record, we let you know that Blue Cross Blue Shield of Michigan is updating its internal processes in preparation for moving its Medicare Plus Blue℠ membership to the NASCO operating system, beginning next year. This reminder article includes some additional information and updates, as well as an example of what the new voucher will look like.

The migration of Medicare Plus Blue membership to the NASCO, which will affect the look of the Medicare Plus Blue provider vouchers and member ID cards, will take place in phases. In January 2024, members of groups that are new to Medicare Plus Blue will be loaded to the operating system. Then, in January 2025, individual members and those in other select group plans will migrate to NASCO. In 2026, key and large group membership will migrate.

The new Medicare Plus Blue provider voucher will look similar to the current Blue Cross commercial vouchers but will include a new field that indicates the provider network and new columns to identify the tax ID and electronic funds transfer dates. The sequestration and withhold amounts will appear in the remittance advice section. Inpatient, acute or rehabilitation diagnosis-related group claims will be listed on a single line on the remittance. Outpatient claims will continue to be listed on the claim line level.

Here’s a look at what the top portion of the new voucher will look like:

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2022 American Medical Association. All rights reserved.