OSP News

Claims for Medicare Annual Wellness Visits for Our Medicare Plus Blue Members Are Denying In Error

Posted: 04/15/2024

A system issue is causing claims for Medicare annual wellness visits (AWVs) for Medicare Plus Blue members to deny incorrectly. This affects claims for AWVs completed in early 2024, less than 12 months since the member’s last AWV.

If you have a claim deny for this reason, you don’t need to take any action. Blue Cross is adjusting the claims that deny in error while the claims systems are being updated to correct the issue.

This problem occurred because the Medicare annual wellness visit benefit changed in 2024. Medicare Plus Blue members can now have an annual wellness visit at any point during the calendar year. They no longer need to wait 12 months between visits.

Blue Cross is currently updating their claims system to reflect this change.

 

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