Blue Review Previous Newsletters

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

April 2016  — Read these articles and more…

  • Updated iExchange Webinars available
  • Predetermination
  • Insurers Now Required by CMS to Conduct Audit for ACA's Risk Adjustment Program

March 2016  — Read these articles and more…

  • Blue Cross and Blue Shield of Oklahoma Launches Updated App with Convenient Access to Benefits Information
  • 2016 — Second Quarter AvailityTM 101 "Back to Basics" Webinars
  • BCBSOK Releases Additional Help Desk Videos

February 2016  — Read these articles and more…

  • Modifier Reimbursement Guide
  • Taking with BCBSOK Behavioral Health Staff
  • How providers can impact HEDIS

January 2016 Blue Review News Alert 

January 2016  — Read these articles and more…

  • Patient "After Hours" Care
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2016
  • Provider Updates and 2016 Plan and Network Changes for Oklahoma Individual PPO Market

Back to Blue Review Provider Newsletter


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