Route Codes
Overrides
Suspenses
Where Do You Go?
Hodge Podge
100
This is the Medical Review route code for obesity
What is route 24?
100
When routing a claim, the route code as well as this override needs to be posted in order to prevent the 297 suspense.
What is "w" override?
100
When the private room difference is not covered & the system requires manual processing, this suspense is received.
What is 055m?
100
To access the discounts that BCBSAL offers to its’ employees, access this HR webpage.
What is Associate Resources?
100
This is the number of days the same password will be allowed to be used.
What is 90 days?
200
This route signifies that Medicare made no payment
What is route 91?
200
DME proc codes will suspend for review of a 10 rental payment max. This override will clear that suspense.
What is "m"?
200
When the type service is invalid for the proc code billed, this suspense is received.
What is the 052?
200
This MRO screen houses precert info.
What is IXCS?
200
This application will replace ITFI.
What is B2?
300
This route is one of the most common used to hold claims in suspense
What is route 01?
300
This override can only be posted by a 920 authority level or above.
What is "@"?
300
This signifies a stop that has an authority level but changes may not be necessary to clear it.
What is a 375 stop?
300
To locate a group’s routine benefits, this BOL category is used.
What is PHEX?
300
This route code sends inqs to Health Management.
What is AJ?
400
This route code send inqs to Customer Accounts
What is NA or RR?
400
This will clear a tag along suspense when it’s the only suspense.
What is "+"?
400
This signifies a stop table where changes are necessary in order to clear it.
What is a 365 stop table?
400
This HR website page houses the Corporate Code of Business Conduct.
What is Compliance or Compliance page on HR?
400
Allergy testing, ambulance, & cardiac rehab are considered these types of services.
What are "true" major medical services?
500
This route is used to show that we won’t make a payment (i.e. full allowance applied to patient liability)
What is route 88?
500
These overrides can bypass a timely filing rejection (9A4).
What is "T/F"?
500
This suspense occurs when a primary prepaid drug claim is bumping to a secondary prepaid drug contract. The system sets up a claim to pay the member.
What is the 297d suspense?
500
The company will not be providing 2010 desk calendars. This application can be accessed to view Julian date calendars as well as those for leap years.
What is DORS?
500
DORS is the acronym for this frequently used resource.
What is Documentation Online Reference System?
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