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Clarification for PPO Products for Enrolled Members with Medicare as the Primary Payer

The following clarification affects members who have Medicare as their primary payer and are enrolled in a fully insured or self–funded PPO product with Blue Cross Blue Shield of Massachusetts. Beginning January 1, 2015, upon account anniversary, out of state claims processed by Medicare, submitted to the member's Blue Cross Blue Shield of Massachusetts plan for secondary payment, will process as an in–network claim when the provider accepts Medicare assignment.

Blue Cross Blue Shield of Massachusetts

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