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.


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


August 2017 

  • EFT and ERA Update for Non-Contracted Government Programs Providers
  • Visit Our Website for Electronic Funds Transfer & Electronic Remittance Advice Resources
  • Integration of Prime Therapeutics® and Walgreens® Specialty Pharmacy and Mail Order Services

July 2017 

  • BCBSOK Blue Review getting a new Look
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2017
  • Keeping BCBSOK Member Private Health Information Safe

June 2017 

  • Q.I.S. or Quality Improvement Strategy
  • Medicare Advantage Overpayment Recovery
  • Real Time Notification of Preauthorizations and Predeterminations

May 2017 

  • Flublok Quadrivalent Billing Update
  • Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
  • Benefit Information Accessible in the IVR Phone System

April 2017 

  • Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
  • Rescheduled Implementation of Additional Code Auditing Software
  • Government Programs: 835 Electronic Remittance Advice (835 ERA) Files

March 2017 

  • Provider Claim Summary Paper Mailing Discontinuance: Effective Date Delay
  • Reporting On-Demand
  • Physician Payment Policies for Members enrolled in Blue Cross Medicare Advantage HMO and Blue Cross Medicare Advantage PPO

February 2017 

  • Blue Cross Medicare AdvantageSM: Claim Rejections for Taxonomy Code
  • AvailityTM Claim Research Tool Offers Enhanced Status Results
  • Provider Data and Directory Updates

January 2017 

  • 2017 Market Place Provider Education
  • Prime Pharmacy Network Change
  • Changes to the Provider Claim Review Form

December 2016 

  • 2017 Market Place Provider Education
  • Upcoming Changes to the Provider Claim Review Form
  • New Preauthorization Requirement for Applied Behavioral Analysis

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