March 1, 2022
Our goal is to help provide the best service for our members, so we’d like to clarify the dispute process for hospital 30-day readmission denials for our Blue Cross Community Health PlansSM (BCCHP) members.
If it is necessary to dispute a 30-day hospital readmission decision, submit medical records for each hospital stay so the review can be conducted properly. Additional details can be found in the Reminder: Hospital 30-day Readmission Review Process for BCCHP and MMAI Members notice on the News and Updates page of our Provider website. Also refer to the step-by-step Updated Provider Dispute Process Overview for Government Programs notice for more information.
If you have additional questions or need more information, contact Customer Service at 855-653-8126 or your assigned Provider Network Consultant with any questions.