Blue Review Provider Newsletter

Our Blue Review provider newsletter is released monthly so that you and your staff have the latest news on claims and billing, federal mandates, medical policies, condition management programs, practice guidelines, formulary/drug list updates, Medicaid, BlueCard, and educational webinars.


November 2016 

  • Announcing a New Change for Rehabilitative and Habilitative Services for Members Enrolled in Qualified Health Plans under the Affordable Care Act
  • Technical and Professional Components Modifiers 26 and TC
  • New Preauthorization Requirement for Applied Behavioral Analysis

October 2016  — Read these articles and more…

  • Provider Notification Form Update
  • Technical and Professional Components Modifiers 26 and TC
  • Premium Paid-To-Date Now Included in BCBSOK Eligibility Response for On and Off Exchange Policies

September 2016  — Read these articles and more…

  • Upcoming Remittance Viewer Training Webinars
  • Use the Availity® Claim Research Tool for Online Claim Status
  • iExchange® Enhancements Now Available!

August 2016  — Read these articles and more…

  • iExchange® Now Accepts Electronic Medical Record Attachments
  • New Preauthorization Requirements through EviCore
  • ClaimsXtenTM New Specialty Pharmacy Rule – Notification of Postponement

July 2016  — Read these articles and more…

  • New Preauthorization Requirements through EviCore
  • Register for "BCBSOK Back to Basics: AvailityTM 101" Webinars
  • ClaimsXtenTM New Specialty Pharmacy Rule – Notification of Postponement

June 2016  — Read these articles and more…

  • Insurers Now Required by CMS to Conduct Audit for ACA's Risk Adjustment Program
  • Corrected Claim Request Alert: Changes Effective July 11, 2016
  • American Indian Cost Sharing Plans- What's the Difference?

May 2016  — Read these articles and more…

  • Corrected Claim Requests Must be Submitted Electronically
  • Electronic Option to Replace Duplicate Provider Claim Summary Requests
  • Insurers Now Required by CMS to Conduct Audit for ACA's Risk Adjustment Program