Reminder: We're experiencing issues with processing some Supartz FX (sodium hyaluronate) claims for BCN AdvantageSM members

We continue to experience issues with processing some Supartz FX (sodium hyaluronate) claims for BCN AdvantageSM members.

We're still working to resolve the issues.

In the meantime, here's what you need to do:

  • For Supartz FX claims that were denied with a message of "NLX Authorization Not Found" (QH9), you don't need to do anything. We'll reprocess your claims for payment within 30 days.
  • For future Supartz FX claims, submit them as usual with the appropriate HCPCS code and the correct National Drug Code, or NDC, for BCN Advantage members. If the claims are denied, we’ll reprocess them within 30 days.

We apologize for any inconvenience. When this issue has been resolved, we'll post a web-DENIS message and a news item on the ereferrals.bcbsm.com website to let you know.

Note: We first communicated about this issue on April 21, 2020, through a web-DENIS message and a news item on this website.

Posted: June 2020
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network