April 10, 2020
Starting June 1, 2020, Blue Cross and Blue Shield of Oklahoma (BCBSOK) will administer behavioral health benefits for BlueLincs HMO members, replacing the current behavioral health administrator, Magellan Healthcare®.
This means that for dates of service beginning on or after June 1 for BlueLincs HMO members:
- Behavioral health claims must be submitted to BCBSOK for reimbursement.
- Eligibility, prior authorization and claims inquiries should be directed to BCBSOK. Please call the number on the member ID card.
We will notify BlueLincs HMO members before the transition date. Some members will receive new BCBSOK ID cards as part of this transition.
For more information please review the 2020 Behavioral Health Program Change FAQs . The FAQs can also be found on the BCBSOK Provider website under the Behavioral Health Care Management page/Related Links.
We do not expect member benefits to be affected by this change. It’s important to use the Availity Provider Portal or your preferred vendor to check eligibility and benefits for all of our members prior to service. This will help you confirm coverage details and other important information, including any prior authorization and pre-notification requirements.
BCBSOK will continue to contract with Magellan Healthcare, Inc. (“Magellan”), an independent company, until May 31, 2020, to administer behavioral health benefits for BlueLincs HMO.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSOK. BCBSOK makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. If you have any questions about the products or services provided by the vendor, you should contact the vendor directly.
Checking eligibility and/or benefit information and/or the fact that a service has been preauthorized/pre-notified is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage applicable on the date services were rendered. If you have any questions, call the number on the member’s ID card.