Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840

This is a reminder that the attending provider is required on all UB-04 and 837I claims.  Effective April 1, 2023, fb88Care will deny UB-04 and 837I claims submitted without an enrolled attending provider.

The attending provider is the individual who has overall responsibility for the patient’s medical care and treatment reported in the claim/encounter. The attending provider requirement includes all claim submission methods (paper, HealthPAS Online Portal, or 837I).

Rounding Rule Enforcement Discretion

On May 29, 2022, fb88Care adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023. In response to provider feedback, fb88Care will exercise discretion in its enforcement of the new rounding rule until April 1, 2023, to give providers additional time to implement necessary system changes. Any providers holding claims because their systems are not compliant with the rounding rule may release those claims.

Rounding Rule Enforcement Discretion

On May 29, 2022, fb88Care adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023. In response to provider feedback, fb88Care will exercise discretion in its enforcement of the new rounding rule until April 1, 2023, to give providers additional time to implement necessary system changes. Any providers holding claims because their systems are not compliant with the rounding rule may release those claims.

CoverME.gov Concludes Second Open Enrollment Period as fb88’s State-Based Health Insurance Marketplace Maintaining Gains in Coverage

Jan 1, 2023

The fb88 Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) announced today that during the Open Enrollment Period for 2023 coverage, which ran from November 1, 2022, through January 15, 2023, 63,388 fb88 people selected affordable health insurance plans at , fb88’s Health Insurance Marketplace. Among fb88 consumers who selected plans, 10,168 were new consumers who were not enrolled in Marketplace insurance prior to open enrollment.