Blue Cross and Blue Shield of Oklahoma

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Use the Availity provider portal to gain access to tools such as iEXCHANGE, Electronic Refund Management, Claim Research Tool.

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Improve operational efficiency and turnaround time on claims by using electronic transactions for billing, payments, eligibility, and claim status.

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
11/12/2018 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
12/17/15 Holiday Schedule Reminders
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

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Electronic Commerce

Blue Review

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Self-service
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