Print

BCBSIL Medicaid Electronic Claims Rejected for Invalid Payer ID

Posted January 6, 2017

Electronic Blue Cross Community OptionsSM claims submitted through AvailityTM with Payer ID MCDIL from Dec. 22, 2016, through Dec. 28, 2016, may have been rejected for an invalid Payer ID. This includes claims submitted for Blue Cross Community MMAI (Medicare-Medicaid Plan)SM, Blue Cross Community Integrated Care Plan (ICP)SM, Blue Cross Community Family Health PlanSM (FHP) and Managed Long Term Supports and ServicesSM (MLTSS) members submitted during the specified period. 

Listed below are examples of error messages providers may have received for the rejected claims:

  • R MSG-3Y9+CLAIM PAYER ID DOES NOT MATCH FILE PAYER  >66005
  • R MSG-3YA PAYER INVALID >66005                            

Please note that, for electronic claims submitted through Availity, MCDIL is the correct Payer ID to use for Blue Cross Community Options (MMAI, ICP, FHP, MLTSS).  The claim rejections for the time period in question occurred due a system issue that was quickly identified and resolved on Dec. 28, 2016.   

Providers who may have been impacted by this issue should not resubmit the rejected claims as Blue Cross and Blue Shield of Illinois (BCBSIL) is coordinating with Availity to resubmit these claims. Duplicate claim submission messages may be received if these claims are resubmitted by providers, as resubmission is already being completed on the providers’ behalf.

We appreciate your patience and cooperation as we resolve this issue and apologize for any inconvenience that this matter may have caused your practice.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.