Blue Review Previous Newsletters

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

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

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