Blue Cross and Blue Shield of Oklahoma

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Blue Review

Read our monthly provider newsletter to stay informed of the latest programs and initiatives that will assist you in offering the best service to our members.

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Blue Review
11/29/2019 Annual Reminder: Medicare Outpatient Observation Notice Required
11/25/2019 Medicare Advantage: Interpreting the 'PLB' Segment on the 835 Electronic Remittance Advice (ERA)
11/25/2019 New Programs Help Members Lead Healthier Lives
11/25/2019 New Online Enrollment Process for 835 EFT & ERA through the Availity^® Provider Portal
11/25/2019 Medicare Advantage: Electronic Payment Summary Now Available for 835 ERA Receivers
11/22/2019 New Names and ID Cards for Group Medicare Plans
11/14/2019 New Social Determinants of Health Screening Tool
11/14/2019 Be Covered – Increasing Coverage for the Uninsured and Underinsured
11/14/2019 Flu Season is Here
11/11/2019 New Addresses for Claims Overpayment Returns
11/06/2019 Medicare Advantage: New Claim Status Tool via Availity^® Provider Portal
11/04/2019 Availity^® Remittance Viewer Tool Upgrade
11/04/2019 Register Today: Behavioral Health HEDIS Webinar Training Thursday, Dec. 5
11/04/2019 Antibiotic Use in the Outpatient Setting
10/28/2019 Verify Preauthorization Requirements by Procedure Code via IVR Phone System
10/24/2019 Availity^® Remittance Viewer Tool Upgrade
10/24/2019 Free CME Course - The Cost of Health Care and What it Means
10/23/2019 Time-Based Measurement Standard to Follow AMA
10/23/2019 Medicare Advantage plans receive an update to Chimeric Antigen Receptor (CAR) T-cell Therapy for Cancers via a decision memo from the Centers for Medicare & Medicaid Services (CMS)
10/23/2019 Pricing update for Udenyca (Q5111) Beginning Jan. 1, 2020
10/23/2019 Collaborating to Reduce Opioid Abuse
10/22/2019 eviCore Benefit Preauthorization Training for Advanced Imaging, Genomic Lab, Joint/Spine/Pain and Sleep Management Services
10/15/2019 Do You Talk to your Patients about the cost of Health Care?
10/10/2019 New Prior Authorization Requirements for Oklahoma Members Effective Jan. 1, 2020
10/03/2019 Cotiviti Denial Rationale and Additional Action(s) Now Available in the Claim Research Tool
09/27/2019 Changes to Medicare Advantage Payment Models for Skilled Nursing Facility and Home Health Care Claims
09/27/2019 Updates to APRN (CNP and CNS) Credentialing Process
09/26/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2019 – Part 2
09/19/2019 Laboratory Benefit Level Change
09/19/2019 FEP Blue Focus Reminder
09/13/2019 Measure and Document Body Mass Index (BMI)
09/02/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2019 – Part 1
08/26/2019 Mammography Screening for Early Detection of Breast Cancer
08/26/2019 Medicare Advantage Updates to Provider Finder Coming in September 2019
08/26/2019 New and Exciting Functionality Coming to the Claim Research Tool (CRT) via Availity^® Provider Portal
08/26/2019 IVR Phone System: Consolidated Benefit Response
08/26/2019 Coming October 1, 2019, Receive Electronic Notifications for Quality and Risk Adjustment Medical Record Requests for Claims via Availity^® Provider Portal
08/26/2019 Member Letters Have a New Look!
08/02/2019 Availity^® Claim Research Tool Offers Enhanced Claim Status Results
08/02/2019 Automated Phone System Offers More Service Options for Medicare Advantage
07/31/2019 Changes to Prior Authorization Requirements for Blue Cross Medicare Advantage^SM Members
07/31/2019 Notice of Change to Preservice Appeals process for your Medicare Patients Covered by Blue Cross and Blue Shield of Oklahoma
07/26/2019 What Adding INTEGRIS to the Blue Advantage PPO^SM Means for Members
07/22/2019 Changes to Behavioral Health Claim Review Coming
07/19/2019 Bringing Millennial Health into the 21^st Century
07/10/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2019
07/02/2019 Reminder: Credentialing Process for Physicians and Other Health Care Professionals with BCBSOK
07/01/2019 Changes to Benefit Specialty Pharmacy Procedure Code List: Always check Preauthorization Requirements
06/24/2019 ClaimsXten^TM Quarterly Updates
06/24/2019 Changes to Behavioral Health Claim Review Coming
06/24/2019 While ADHD Diagnosis Rises, Treatment Patterns Fall Short
06/14/2019 Updated Resources Online NDC Units Calculator Tool Now Available
06/10/2019 Reporting On-Demand Application Now Available for Medicare Advantage via Availity^® Provider Portal
06/06/2019 Out-of-State Electronic Remittance Advice (ERA) Enrollment Notification
05/22/2019 Imaging Studies for Low Back Pain
05/15/2019 In-home Colorectal Cancer Screening Test Provided to Select Members
05/03/2019 BCBSOK Now Offers a Choice in Pharmacies for Specialty Medications
05/02/2019 2019 HHS-Risk Adjustment Data Validation Program (RADV)
05/01/2019 Change in Reject Notification for Invalid National Drug Codes (NDCs) Used on Electronic Medicare Advantage Claims
04/30/2019 Check Your Patients' Behavioral Health Preauthorization Requirements
04/15/2019 Save Time by Using eviCore Web Portal for Preauthorization Requests
04/15/2019 Making an Impact in Our Community
04/15/2019 The New Great Depression
03/19/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2019
03/13/2019 Are you using these shared decision-making aids?
02/22/2019 Behavioral Health Care Providers - Time is running out to make sure we have the correct information about your practice.
02/19/2019 Government Programs: Verifying Claim Status in the Availity^® Provider Portal
02/14/2019 BCBSOK’s Payer Spaces Updates in Availity^® Provider Portal
02/08/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes and Pharmacy Network Changes Effective Jan. 1, 2019
02/08/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes and Pharmacy Network Changes Effective Jan. 1, 2019
01/28/2019 Leverage the Availity^® Provider Portal for Efficiencies
01/21/2019 Behavioral Health Care Providers: We Need Your Help to Improve Access to Care!
01/18/2019 New Opioid Drug Management Program for Medicare Members
01/11/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective October 1, 2018
01/08/2019 Hold Times and Yearly Eligibility Changes
01/04/2019 2019 Updates to the Behavioral Health Request Forms
01/04/2019 Automated Phone System Change for Behavioral Health Services
12/20/2018 Verifying Procedure Code Preauthorization Requirements Online
12/18/2018 BCBSOK Prenotification Request for Maternity and Dialysis Beginning Jan. 1, 2019
12/17/2018 Federal Judge Rules Individual Mandate Unconstitutional. Nothing Changes for Our Members.
12/17/2018 Notification of Annual Benefit Updates
12/14/2018 2019 Benefit Preauthorization Changes: eviCore Training, Reminders and Resources
12/13/2018 Blue Cross Medicare Advantage Prior Authorization List Effective 1/1/2019
12/13/2018 Annual Reminder: Medicare Outpatient Observation Notice Required
12/04/2018 BCBSOK Expansion or Changes to Preauthorization Requirements Beginning Jan. 1, 2019
11/29/2018 New Benefit Preauthorization Requirements for Select Infusion Drugs
11/28/2018 Federal Employee Program^® (FEP^®) Introduces FEP Blue Focus
11/22/2018 Group C-PCM Exception Products List Can Now Be Found Online
11/22/2018 Documentation is Crucial for a successful “Annual Visit” Campaign
11/22/2018 Check Online for Procedure Code-specific Benefit Preauthorization Requirements
11/16/2018 Medicare Advantage: Preauthorization Change for Psychological and Neuropsychological Testing
11/12/2018 New ‘Pre-Authorization Info’ Tab on the Availity^® Provider Portal Eligibility and Benefits Results
11/01/2018 BCBSOK Preauthorization Changes Beginning Jan. 1, 2019
10/25/2018 Preferred Site of Care Claims Processing Issue for Blue Advantage PPO^SM and Blue Preferred PPO^SM Members
10/18/2018 Changes to Home-Based Sleep Study Benefit Prior Approval Requirements for Some FEP Members
10/17/2018 Government Programs: Interpreting the ‘PLB’ Segment on the 835 Electronic Remittance Advice (ERA) for Medicare Advantage^SM Networks
10/11/2018 In-home Colorectal Cancer Screening Test
10/04/2018 Close HEDIS^® Gaps easily through the Availity^® Provider Portal
09/28/2018 Interpreting the 'PLB'Segment on the 835 Electronic Remittance Advice (ERA)
09/21/2018 You may notice some delays
09/14/2018 eviCore Hold Times May Increase Due to Hurricane Florence
09/04/2018 New Lactation Consultation Designation added to Demographic Change Form
09/04/2018 Inpatient Services require Preauthorization
09/03/2018 Government Programs: Electronic Claim-related Process Improvements and Reminders
08/27/2018 Electronic Replacement/Corrected Claim Submission FAQs
08/20/2018 New Application Process for Joining Our Networks
08/09/2018 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2018
08/09/2018 Important Reminder: Claims Will Deny if Rendering NPIs are not on File with BCBSOK
07/31/2018 Voluntary Recall of Medications Containing the Valsartan Active Ingredient
07/26/2018 Appropriate Use of Opioids Program Launched August 1, 2018
07/19/2018 New Preventive Service for Medicare Members at Risk for Type 2 Diabetes
07/02/2018 Changes Coming to the BCBSOK Predetermination Request Form
06/28/2018 New eviCore Email-Notification for Utilization Management (UM) Decisions
06/22/2018 Ensure Accuracy of Claims Coding, Billing and Payments
06/06/2018 Billing Qualified Medicare Beneficiary for Medicare
06/06/2018 Addressing What Matters: How BCBSOK Is Tackling the Opioid Crisis
06/06/2018 High-dose Influenza Vaccine Guidelines
06/13/2018 Quickly, Efficiently Manage and Respond to Coding Opportunities Online through the Availity^® Provider Portal
06/06/2018 Select Specialty Medications to Transition to Accredo Specialty Pharmacy – Effective June 1, 2018
05/30/2018 2018 ACA Risk Adjustment Program Audit
05/28/2018 REMINDER: Services Rendered by Providers to Related Members and/or Self
05/28/2018 3^rd Quarter Availity^TM, iExchange and Remittance Viewer Training Now Available
05/28/2018 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2018
05/18/2018 Prime Therapeutics^® and Walgreens^® Combined Specialty and Home Delivery Pharmacy Services Company Brand Launch Completed Important E-Prescribing Changes
05/04/2018 How to Navigate Our Updated Provider Finder^®
03/27/2018 Updated Online NDC Units Calculator Tool Available
03/01/2018 Oklahoma Behavioral Health Provider Education Webinar; RSVP by March 28
02/23/2018 Updated Additional Benefit Preauthorization Requirements for 2018
02/19/2018 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2018
02/14/2018 Availity^TM Claim Research Tool Offers Enhanced Claim Status Results
01/29/2018 Responding to Electronic Quality and Risk Adjustment Medical Record Requests via Availity^TM Web Portal
01/17/2018 Electronic Commerce Services – Hours of Operation Update
01/03/2018 Effective Jan. 1, Sensipar^® (cinacalcet) will no longer be separately reimbursable under Medicare Part D for ESRD
12/20/2017 Pharmacy Benefit Tips
12/20/2017 Notification of Annual Benefit Updates
12/11/2017 2018 Holiday Schedule Reminders (for 835 and 837 transactions)
12/11/2017 Help FEP Members Take In-home Colorectal Cancer Screening Test
12/11/2017 BCBSOK Documentation Guidelines – Laboratory Audit/Review
12/11/2017 Behavioral Health Program Changes for Boeing Members
11/30/2017 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2017
11/16/2017 MAO Coverage of Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease PAD)
11/10/2017 New Medical Record Retrieval Vendor for Out-of-Area Blue Plan Member Records
11/07/2017 CMS Notifications for Blue Cross and Blue Shield Medicare Providers
11/06/2017 Important Information on ABA Authorizations and Payment
11/06/2017 Visit Our Website for New Claim Payment and Remittance Resources
11/01/2017 New Additional Preauthorization Requirements in 2018
10/20/2017 How to Find BCBSOK Resources in Availity^TM Payer Spaces
10/13/2017 Government Programs: 835 Electronic Remittance Advice (835 ERA) Update
09/14/2017 National Drug Code (NDC) Billing Update for Medicare Advantage Claims
08/24/2017 Blue Cross Medicare Advantage^SM: Electronic Claim Submission Edits
08/23/2017 Code-Auditing Enhancement
08/23/2017 Health Insurance for American Indians and Alaska Natives
08/23/2017 Verifying Eligibility and Benefits for BCBSOK American Indian Members
08/23/2017 Colon Cancer Screenings Goal: 80% Participation by 2018 – Will You Commit?
08/16/2017 Government Programs: Claims Rejecting as Duplicate Submissions
08/15/2017 Requesting Predetermination of Medical Necessity
07/26/2017 EFT and ERA Update for Non-Contracted Government Programs Providers
07/26/2017 Integration of Prime Therapeutics^® and Walgreens^® Specialty Pharmacy and Mail Order Services
07/18/2017 FEP^® Self-Measured Blood Pressure Monitoring
06/23/2017 Medicare Advantage Overpayment Recovery
06/20/2017 New ClaimsXten^TM Rules to be Implemented
06/02/2017 Additional Benefit Categories Contained in IVR Phone System
05/31/2017 Online Enrollment Options in Availity^TM
05/19/2017 One Way BCBSOK is Taking on Asthma in May – National Asthma and Allergy Awareness Month
05/02/2017 Government Programs: 835 ERA Files Displaying '0' in the Check Number Field
04/26/2017 Benefit Information Accessible in the IVR Phone System
04/13/2017 New Medicare Prior Authorization Requirements through eviCore
04/11/2017 ClaimsXten^TM Announces Software Version Upgrade
03/31/2017 UPDATE: Implementation Date for Medicare Prior Authorization Requirements through eviCore Delayed
03/29/2017 Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
03/28/2017 Bulk Powder Compounds: Claim Processing Change, Effective July 1, 2017
03/13/2017 Government Programs: 835 Electronic Remittance Advice (835 ERA) Files
02/22/2017 Provider Claim Summary Paper Mailing Discontinuance: Effective Date Delay
02/15/2017 Effective March 8, 2017: Medicare Outpatient Observation Notice (MOON) Required
01/31/2017 Blue Cross Medicare Advantage^SM: Claim Rejections for Taxonomy Code
01/31/2017 Availity^TM Claim Research Tool Offers Enhanced Status Results
01/19/2017 Fax Number Correction for New Payer ID for Blue Cross Medicare Advantage
12/29/2016 BCBSOK Vision Plan Notifications
12/23/2016 'Reporting On Demand': Coming Soon to Availity^TM Payer Spaces
12/20/2016 Provider Claim Summary Report Viewer Application Webinars
12/20/2016 Availity Claim Research Tool: Enriched Status Results
12/19/2016 Availity Provider Claim Summary Report Viewer Application Webinars
12/14/2016 Secondary Code-auditing Software Scheduled for Implementation as of March 19, 2017
12/11/2016 New Preferred Statewide Lab Services Effective Jan. 1, 2017
12/01/2016Upcoming Changes to the Provider Claim Review Form
11/28/2016Provider Claim Summary Paper Conversion Coming March 1, 2017
11/28/2016Reminder: Phone System Update for Eligibility and Benefits
11/21/2016Electronic Remittance Allowed Amounts: Issue Resolved
11/11/2016 Obtaining Patient Eligibility and Benefits: Phone System Update
11/11/2016 Enroll Now for ERA and EFT through Availity
11/10/2016 Obtaining Provider Claim Summaries Online
11/09/2016 Electronic Remittance Informational Notice: Allowed Amounts
11/04/2016 Reminder: Check Member Benefits before Submitting Claims
11/02/2016 LifeTimes^® Member Newsletter is Now Available Online
11/01/2016 Use of Physical Medicine and Rehabilitation Codes
10/26/16 iExchange Webinars - New Dates Available for Nov/Dec 2016
10/18/2016 Online Portal Applications Help Expedite Administrative Workflow
10/03/16 Update: Insurers Now Required by CMS to Conduct Audit for ACA's Risk Adjustment Program
09/28/16 New Preauthorization Requirement for Applied Behavioral Analysis
09/23/16 Update: New Benefit Preauthorization Requirements through EviCore
09/15/16 Premium Paid-To-Date Now Included in BCBSOK Eligibility Response for On and Off Exchange Policies
08/30/16 BCBSOK Update: Electronic Remittance Advice (ERA) File
08/19/16 BCBSOK Important Notice: Electronic Remittance Advice (ERA) File
08/11/16 iExchange^® Enhancements Now Available!
07/29/16 Self-Service Update for Behavioral Health and Chemical Dependency
07/22/16 Reminder: Corrected Claim Request Change, Effective July 11, 2016
07/18/16 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2016
07/18/16 iExchange^® Now Accepts Electronic Medical Record Attachments
06/02/16 ClaimsXten^TM New Specialty Pharmacy Rule - Notification of Postponement
05/25/16 Corrected Claim Request Alert: Changes Effective July 11, 2016
05/25/16 Electronic Option to Replace Duplicate Provider Claim Summary Requests
05/24/16 ClaimsXten^TM Outpatient Facility Rules: Notice of Postponement for BlueCard^® Host
05/19/16 Payment Policy Change for Members Begins June 1
05/16/16 Update for Electronic Funds Transfer (EFT) Recipients
05/13/16 Attention Electronic Funds Transfer (EFT) Recipients
05/09/16 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2016
04/27/16 Multiple Referral Submission via iExchange
04/18/16 ClaimsXten^TM 2nd Quarter 2016 Updates and New Specialty Pharmacy Rule Notification
04/13/16 Register Today for a "BCBSOK Back to Basics: Availity^TM 101" Webinar
04/07/16 Predetermination Guidelines are Now Available
03/17/16 Infusion Site of Care Management Program to Target Select BCBSOK Members
02/18/16 ClaimsXten^TM Facility Rules: Implementation Update and Notification of Postponement for FEP and BlueCard^® Host
01/19/16 Consult Code Reimbursement
01/11/16 Invitation to participate in Request for Proposal Procurement Strategy
01/04/16 Notification of Annual Benefit Updates
12/15/15 ClaimsXten^TM 1st Quarter 2016 Updates and New Rule Notification
11/23/15 ICD-10: Moving Toward Business-as-Usual
10/02/15 New Effective Date: ClaimsXten^TM Adds Three New Outpatient Facility Rules
9/28/15 ICD-10 Direct Data Entry Claim Submission Webinar
9/17/15 BCBSOK Response to Recent CMS Guidance on ICD-10
9/11/15 ClaimsXten^TM Edits for Compression Device Accessories, Effective Dec. 14, 2015
8/19/15 ICD-10: Approaching the Finish Line
8/18/15 Availity^TM Enhanced Eligibility and Benefits Inquiry
8/07/15 Countdown to ICD-10: National Implementation Update from CMS

National Drug Codes (NDCs): Billing Resources

Self-servicethrough Availity

Electronic Commerce

Blue Review

Update your Information

Self-service
through Availity