Update Regarding Processing of Individual Member Claims
Following discovery of some configuration issues affecting certain types of claims processed on their new technology platform, known as Facets, it was determined that processing certain types of claims and then performing secondary review of them was not the best way to proceed. Instead, BCBSNC placed a hold on most of the claims in Facets. They do still expect these claims to be processed within the 60 to 120-day time frame communicated to providers on March 11. Once claims are processed, providers can expect payments to be made within seven to 10 business days.