Blue Cross Community Centennial Electronic Claim Rejections: Missing Present on Admission (POA) Indicator

May 24, 2017

On May 20, 2017, for the Blue Cross Community Centennial program, Blue Cross and Blue Shield of New Mexico (BCBSNM) implemented changes to improve efficiencies in routing, handling and post-adjudication processes for electronic claim submissions. Blue Cross Community Centennial members are identified by alpha-prefix "YIF" listed on their BCBSNM identification card.

With this change, some institutional providers may temporarily experience electronic claim rejections due to a "missing" Present on Admission (POA) indicator. Providers impacted by this issue may receive the following error message: "Principal Diagnosis Code requires Present on Admission indicator."

This issue is scheduled to be resolved by Thursday, May 25 2017, after which institutional providers should resubmit the affected claims starting on Friday, May 26, 2017. To view the original communication outlining these changes, refer to the May Blue Review Learn more about third-party links edition or the recent News & Updates article published on May 11, 2017.

Additionally, if you have any questions or need more information, you may contact your Provider Network Representative. Our Provider Network Representatives are available to assist you Monday – Friday, 8 a.m. to 4 p.m. MST, locally (505) 837-8800 or toll-free (800) 567-8540.

We apologize for the inconvenience you may have experienced related to the above issue.

Such services are funded in part with the State of New Mexico. Blue Cross and Blue Shield of New Mexico, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an independent licensee of the Blue Cross and Blue Shield Association