BCBS Now Requires Correct NDC

This week Blue Cross Blue Shield of Alabama (BCBS) deployed changes to require providers to include an NDC on claims filed for physician administered drugs which includes oncology drugs, vaccines, and inhalation drugs, etc.

In addition to the new NDC requirements, BCBS has also started validating every NDC submitted, even on procedure codes that do not require a NDC. So, if an invalid NDC code is submitted on ANY claim, it will be rejected.

• Claims that require an NDC that do not contain the needed NDC will be rejected on the audit trail.
• This edit currently exists for more than 100 procedure codes and will continue to expand.
• BCBS has notified providers through town meetings, direct calls and Provider Facts article.
• If an invalid NDC code is submitted on ANY claim, it will be rejected.

Questions?  Visit https://www.bcbsal.org/providers/publications/providerFacts/2011-036.pdf