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, BlueCard and educational webinars.

To receive the Blue Review provider newsletter please click on the Receive newsletter by email link under Related Resources or fill out the Change Existing Demographic Information form and include your email.

November 2022

  • New Laboratory Management Program to Begin Nov. 1, 2022
  • New BCBSOK Network MyBlue HMOSM Launches Jan. 1, 2023
  • New Tool Improves Behavioral Health Prior Authorization — Attend a Training 
  • Prior Authorization Codes Updated for Commercial Members, Effective January 1 New Tool to Verify Credentialing Information
  • Help Close Diabetes Disparity Gaps
  • Diabetes Screening for People Using Antipsychotic Medications
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2022 – Part 2
  • Confirm Medical Record Receipt Status Online for Prior Authorization Requests
  • Submitting Unlisted or Miscellaneous Codes: Billing Guidelines and Reminders
  • Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare
  • Health Equity and Social Determinants of Health: New Resources for Providers
  • Postponed: Use Our Automated Phone System to Request Prior Authorization for FEP® Members

October 2022

  • We’re Reducing Prior Authorization Requirements for Certain Applied Behavioral Analysis (ABA) Codes for Some Commercial Members, in some instances.
  • Reminders When Using the Claims Inquiry Resolution (CIR) tool
  • Coming Soon: IVR System to Offer Prior Authorization Requests for FEP Members
  • ClaimsXten™ Quarterly Update Effective Dec. 5, 2022
  • New Tool to Verify Credentialing Information
  • Help Close Diabetes Disparity Gaps
  • Earn Continuing Education Credit through Webinar on Suicide Prevention
  • Addressing Disparities in Breast Cancer for Black Women

September 2022

  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2022 – Part 2
  • Avoiding Antibiotics for Acute Bronchitis and Other Viruses
  • Videos to Share on Behavioral Health Care
  • Verify Your Directory Details Every 90 Days
  • Help Close Gaps in Care for Group Medicare Advantage Members
  • Webinars on Cross-Cultural Care Offer Continuing Education Credit
  • Notice of Provider and Member Rights and Responsibilities
  • Winners announced for Champions of Health Gala featuring Erin Andrews

August 2022

  • Preparing For 2022 Summer HEDIS Medical Record Collection
  • New Online Option to Confirm Receipt Status of Faxed or Mailed Medical Records
  • Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization for Commercial Members, Effective October
  • Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization for Medicare, Effective Oct. 1
  • Flex and Open Access for Medicare Patients and Providers
  • Winners announced for Champions of Health Gala featuring Erin Andrews

July 2022

  • Flex and Open Access for Medicare Patients and Providers
  • Catch Up on Routine Vaccines and Well-Child Visits
  • Pricing Information to Display Starting in July
  • In-home Test Kits for Colorectal Cancer Screening
  • Timeframe Is Returning to Normal for Provider Appeals
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2022 – Part 1
  • Provider Satisfaction Survey 2022
  • New Quick Reference Page Available
  • New Online Option to Confirm Receipt Status of Faxed or Mailed Medical Records

June 2022

  • Changes to BCBSOK’s Policy on Provider Network Effective Date
  • ClaimsXten™ Quarterly Update Reminder
  • Help Close Gaps in Care for Group Medicare Advantage Members
  • Availity® Essentials Claim Status Tool Update
  • Submit Multiple Clinical Claim Appeal Requests Online
  • Managing Diabetes
  • Behavioral Health Collaboration Requests
  • Education Information Required for Directory
  • Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use

May 2022

  • Changes to BCBSOK’s Policy on Provider Network Effective Date
  • Supporting Care During and After Pregnancy
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2022 – Part 2
  • Coding for Breast Augmentation and Removal for Gender Affirming Surgery
  • Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization for Medicare, Effective July 1
  • Credentialing Requirement for Facility-Based Providers
  • Follow-Up Care for Substance Abuse Disorders
  • New ‘Message This Payer’ Option Coming Soon via Availity® Essentials 
  • Champions of Health Awards Accepting Nominations Through May 20

April 2022

  • Supporting Mental Health
  • ClaimsXten™ Quarterly Update Reminder
  • Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization for Medicare
  • Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization for Commercial Members
  • Advisory on Telemedicine Services – Place of Service (POS) Codes
  • Closing Gaps in Colon Care
  • Free Webinars and Continuing Education Credit 
  • Four High School Seniors Receive Scholarships at Oklahoma Youth Expo
  • Champions of Health Awards Accepting Nominations Starting April 20

March 2022

  • Verify and Update Your Information Online via Availity® Provider Data Management
  • New Laboratory Management Program to Begin May 1, 2022
  • Reminder: Claim Editing Enhancements Coming April 1
  • Closing Gaps in Care for Group Medicare Advantage Members
  • All Contracted Providers Will Now Display in Provider Finder®
  • Blue Cross and Blue Shield of Oklahoma celebrates 10 years of giving across the state

February 2022

  • ClaimsXten™ Quarterly Update Reminder
  • Supporting Healthy Hearts
  • Health Insurance for American Indians and Alaska Natives
  • Availity® Tools to Support Providers in 2022
  • Reminder: Claim Editing Enhancements Coming
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 1
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 2

January 2022

  • Hospitals must Provide Medicare Outpatient Observation Notice
  • New Flexible Medicare Advantage PPO Plan
  • Claim Editing Enhancements Coming April 1, 2022
  • Reminder: Claim Editing Enhancements Coming in 2022, Register for a Training Webinar
  • Current Procedural Terminology (CPT®) Codes Updated, including Cardiology, for Prior Authorization for Commercial Members
  • Chiropractic & Mixed Therapy Benefits Contained in IVR Phone System as of Jan. 3, 2022
  • It's Time - Verify Your Directory Details

 

2021 Newsletters

2020 Newsletters

2019 Newsletters