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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June 2018 

  • Billing Qualified Medicare Beneficiary for Medicare
  • Addressing What Matters: How BCBSOK Is Tackling the Opioid Crisis
  • 3rd Quarter AvailityTM, iExchange and Remittance Viewer Training Now Available

May 2018 

  • Pharmacy Program Updates
  • May is Mental health Awareness Month
  • How to Navigate Our Updated Provider Finder
  • Nominations Open for 2018 Champions of Health Awards

April 2018 

  • BCBSOK Approves Coverage of New Shingles Vaccine Shingrix
  • Flu Epidemic Notification from the CDC
  • Updated: Additional Benefit Preauthorization Requirements for 2018

March 2018 

  • Interpreting the ‘PLB’ Segment on the 835 ERA
  • AvailityTM Claim Research Tool Offers Enhanced Claim Status Results
  • How to Keep the Cash Flowing: Helpful Tips for Preventing Claim Delays

February 2018 

  • How providers can impact HEDIS®
  • Referrals Process for American Indians with Limited Cost-sharing Plans
  • Electronic Commerce Services – Hours of Operation Update

January 2018 

  • Notification of Annual Benefit Updates
  • Effective Jan. 1, Sensipar® (cinacalcet) will no longer be separately reimbursable under Medicare Part D for ESRD
  • Skilled Nursing Facility (SNF) Benefit Change for Federal Employee Plan (FEP) Members

December 2017 

  • New Additional Preauthorization Requirements in 2018
  • BCBSOK to Require Adherence to Vaccine Guidelines
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2017

November 2017 

  • Flucelvax Quadrivalent Billing Update
  • BCBSOK to Require Adherence to Vaccine Guidelines
  • Government Programs: 835 Electronic Remittance Advice (835 ERA) Update

October 2017 

  • Should health care be a packaged deal?
  • Blue Cross Medicare AdvantageSM: Electronic Claim Submission Edits
  • Requesting predetermination of medical necessity

September 2017 

  • Government Programs: Claims Rejecting as Duplicate Submissions
  • Blue Cross Medicare AdvantageSM: Electronic Claim Submission Edits
  • Requesting predetermination of medical necessity

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