BLUE REVIEW^SM

May 2024

Late and Added Charges Must Be Submitted as a Corrected Claim

Effective July 1, 2024, all late charges must be submitted to Blue Cross and Blue Shield of Illinois as a corrected claim after the original claim has been processed.

What are late charges?
Late charges, or additional charges, represent changes for items and services that were submitted after the bill was created and not included in the original bill.

How To Submit a Corrected Claim
When submitting a corrected claim for charges to a previously processed inpatient or outpatient claim for commercial members, remember these important tips:

• The corrected claim should include all line items previously processed correctly. Reimbursement for line items no longer included on the corrected claim may be subject to recoupment by BCBSIL.
• The entire claim should be resubmitted with frequency code 7 (replacement of prior claim). Do not submit a corrected claim using frequency code 5 (late charges). If the corrected claim is submitted using frequency code 5 this could result in a denial of the claim.

For more information refer to our Claim Submission page. Also see our Clinical Payment and Coding Policies page to view our revised CPCP025 Corrected Claim Submissions policy.