April 1, 2024
Effective July 1, 2024, all late charges must be submitted to Blue Cross and Blue Shield of New Mexico as a corrected claim after the original claim has been processed.
What are late charges?
Late charges, or additional charges, represent changes for items and services that were submitted after the bill was created and not included in the original bill.
How To Submit a Corrected Claim
When submitting a corrected claim for charges to a previously processed inpatient or outpatient claim for commercial members, remember these important tips:
- The corrected claim should include all line items previously processed correctly. Reimbursement for line items no longer included on the corrected claim may be subject to recoupment by BCBSNM.
- The entire claim should be resubmitted with frequency code 7 (replacement of prior claim). Do not submit a corrected claim using frequency code 5 (late charges). If the corrected claim is submitted using frequency code 5 this could result in a denial of the claim.
Refer to our revised CPCP025 Corrected Claim Submissions Policy on our Clinical Payment and Coding Policies website for more information.
The information provided does not constitute coding or legal advice. Physicians and other health care providers should submit claims using the most appropriate code(s) based upon the medical record documentation, coding guidelines and reference materials.