Downcoding BCBS of NJ - State Regulatory & Insurance Committee (SRIC) - EDPMA EMpowered Community

Downcoding BCBS of NJ

State Regulatory & Insurance Committee (SRIC)

Downcoding BCBS of NJ

Posted by name on February 12, 2024 at 5:40 pm

Are any groups experiencing increased down-codes from BCBS of New Jersey? and if so, are you being successful with the appeals? Testing out this new Forum.. 🙂 😀

name replied 1 year, 2 months ago 2 Members · 2 Replies
2 Replies

name

Member
February 12, 2024 at 6:42 pm

I don’t have experience with this particular issue so I will defer to others in the group but just wanted to say thank you for starting the first conversation! 🙂

If no one within SRIC has information, we can check with QCDC.
name

Member
February 13, 2024 at 1:36 pm

Does BCBS NJ have a written policy on this? If so, please share a copy of that policy.

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