Blue Review Provider Newsletter



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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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December 2020 

  • Verify Multiple Patient’s Eligibility and Benefits Coverage via Availity
  • New Electronic Duplicate Claim Rejections for Commercial Claims Coming in Dec. 2020
  • Behavioral Health Tip Sheets
  • Billing Reminders for Psychological and Neuropsychological Testing
  • Updated: HCPCS Codes to Specialty Medication Administration Site of Care Policy, Effective Jan. 1, 2021
  • View, Download and Print the BCBSOK Member’s ID Card Online via the Availity® Provider Portal
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021 — Part 1
  • COVID 19 Initiatives Extended®
  • Coming Soon: Utilization Management - New Home for Prior Authorization Information
  • BCBSOK will update CPT® codes for some prior authorization services

November 2020 

  • Submit Electronic Professional and Facility Claims via the Availity® Provider Portal
  • Availity Claim Status Tool Now Available for All BCBSOK Members
  • BCBSOK Moving Prior Authorization Duties from eviCore to AIM
  • Reminder: Return BlueSooner NetworkSM Contract
  • Availity® Provider Portal Offerings
  • Updates and Reminders: Submit Predetermination of Benefits Submission via Availity®
  • Are you using these shared decision-making aids?
  • COVID 19 Initiatives Extended®
  • Provider Finder® Gets an Upgrade

October 2020 

  • Telemedicine - Future State
  • The APRN (CNP and CNS) Credentialing Process
  • COVID-19 Initiatives Extended
  • Extends Telemedicine to All In-Network Providers
  • Licensed Marital and Family Therapists Can Now Join the BCBSOK Networks
  • Childhood Immunization Rates Fall Amidst Pandemic Fears
  • In-Home Test Kits for Diabetics
  • Share Your Medication Assisted Treatment Designation
  • Obtain the Patient’s ID Number Online via Availity®
  • Blue Distinction® Message via the Availity® Eligibility and Benefits Results
  • Blue High Performance NetworkSM (Blue HPNSM) to launch in January 2021
  • Verify Procedure Code Preauthorization Requirements and Submit the Request via Availity®
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2020 — Part 2
  • Improving Hypertension Management
  • Provider Finder® Gets an Upgrade

September 2020 

  • COVID-19 Initiatives Extended
  • Licensed Marital and Family Therapists Can Now Join the BCBSOK Networks
  • Colorectal Cancer Screening at Home
  • Telehealth Visits – Medicare Advantage
  • Submit Predetermination of Benefits Requests via Availity®
  • iExchange® Deactivated on August 17, 2020
  • Obtain the Patient’s ID Number Online via Availity®
  • Improving Hypertension Management
  • Winners announced for virtual Champions of Health Awards featuring Keynote Speaker Terry Bradshaw

August 2020 

  • Continuity of Care Extended During COVID-19 Pandemic
  • Referrals Process for American Indians with Limited Cost-sharing Plans
  • Health Insurance for American Indians and Alaska Natives
  • Colorectal Cancer Screening at Home
  • Overpayment Recovery Process for Contracted Providers
  • Are you submitting claims correctly for medications that come in additional packaging?
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2020 – Part 1
  • Imaging Studies for Low Back Pain
  • Behavioral Health Tip Sheets

July 2020 

  • Continuity of Care Extended During COVID-19 Pandemic
  • Health Insurance for American Indians and Alaska Natives
  • BCBSOK Will Update CPT® Codes for Some Prior Authorization Services
  • Blue Cross Medicare Advantage Prior Authorization Updates Effective Sept. 1, 2020
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2020 — Part 2
  • Behavioral Health Program Changes for BlueLincs HMO
  • Referrals Process for American Indians with Limited Cost-sharing Plans

June 2020 

  • COVID-19 Initiatives Extended into June
  • COVID-19 Coverage Updates for Medicare Providers
  • Behavioral Health Program Changes for BlueLincs HMO
  • Important Reminder about Billing for Point-of-use Convenience Kits
  • Calls to Electronic Commerce Services will be Redirect to Email as of June 15, 2020

May 2020 

  • Provider Information on COVID-19 Coverage
  • Updates to BCBSOK Clinical Payment and Coding Policies
  • Important Reminder about Billing for Point-of-Use Convenience Kits
  • Medicare Advantage Provider Call Center Lines Experiencing Longer Hold Times
  • Alert: iExchange® Deactivation Extended Due to COVID-19
  • Behavioral Health Program Changes for BlueLincs HMO
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective on or after July 1, 2020 – Part 1

April 2020 

  • Provider Information on COVID-19 Coverage
  • Remember to use In-Network Laboratories
  • New Annual Wellness Visit Resources for Medicare Providers
  • Behavioral Health Program Changes for BlueLincs HMO
  • New Authorizations and Referrals Tool via Availity® Provider Portal Available
    as of Feb. 17, 2020
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective
    April 1, 2020 Part 2

March 2020 

  • New Authorizations and Referrals Tool via Availity Provider Portal Available as
    of Feb. 17, 2020
  • Behavioral Health Program Changes for BlueLincs HMO
  • Reimbursement Rate Update for Infliximab Products Beginning April 1, 2020

February 2020 

  • Introducing a New Preauthorization and Referral Submission Tool via Availity®
    Provider Portal
  • Behavioral Health Tip Sheets
  • Upcoming Changes to the Provider Paper Enrollment Forms

January 2020 

  • Coordinating Care Among Behavioral Health and Medical Providers
  • Reminder: Medicare Providers May Not Bill Participants in the Qualified
    Medicare Beneficiary Program
  • Reminder: Out-of-Network Medicare Providers Can Treat Group Medicare
    Advantage Open Access (PPO) Members