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.


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September 2019 

  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2019 – Part 1
  • Coming Oct. 1, 2019, Receive Electronic Notifications for Quality and Risk Adjustment Medical Record Requests for Claims via Availity® Provider Portal
  • New and Exciting Functionality Coming to the Claim Research Tool via Availity® Provider Portal

August 2019 

  • Member Letters Have a New Look!
  • Availity® Claim Research Tool Offers Enhanced Claim Status Results
  • Automated Phone System Offers More Service Options for Medicare Advantage
  • Bringing Millennial Health into the 21st Century

July 2019 

  • Changes to Behavioral Health Claim Review Coming
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2019
  • Reporting On-Demand Application Now Available for Medicare Advantage via Availity® Provider Portal

June 2019 

  • In-home Colorectal Cancer Screening Test Provided to Select Members
  • 2019 HHS-Risk Adjustment Data Validation Program (RADV)
  • Imaging Studies for Low Back Pain

May 2019 

  • Change in Reject Notification for Invalid National Drug Codes (NDCs) Used on Electronic Medicare Advantage Claims
  • Check Your Patients? Behavioral Health Preauthorization Requirements
  • Save Time by Using eviCore Web Portal for Preauthorization Requests

April 2019 

  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2019
  • Check Eligibility and Benefits: Don’t Skip This Important First Step!
  • BCBSOK’s Payer Spaces Updates in Availity® Provider Portal

March 2019 

  • 2019 Standards of Medical Care in Diabetes
  • BCBSOK's Payer Spaces Updates in Availity® Provider Portal
  • Government Programs: Verifying Claim Status in the Availity® Provider Portal

February 2019 

  • 2019 Updates to the Behavioral Health Request Forms
  • Automated Phone System Change for Behavioral Health Services
  • New Opioid Drug Management Program for Medicare Members

January 2019 

  • BCBSOK Expansion or Changes to Preauthorization Requirements Beginning Jan. 1, 2019
  • 2019 Holiday Schedule Reminders (for 835 and 837 transactions)
  • Blue Cross Medicare AdvantageSM Prior Authorization List Effective 1/1/2019