Medicare Advantage Claims for Unlisted and Not Otherwise Classified (NOC) Codes

Effective March 1, 2023; to better ensure timely, accurate and efficient processing, supporting documentation should be attached to all Blue Medicare Advantage (MA) claims submitted with an unlisted or NOC procedure code(s), and/or services with modifier 22 appended. MA claims with attachments should be submitted by postal mail.

If documentation supporting the service(s) is not included, the claim may deny, and a remark code included on the explanation of payment (EOP) indicating the specific documentation needed.

Questions?

If you have questions regarding contracting, or this publication, please contact your BCBSKS MA provider representative, or visit the MA Provider section of our website.