2023 News Archive
- 12/22/23 Prior Authorization Code Updates for Medicare Advantage
- 12/22/23 Prior Authorization Codes Updated for Commercial Members
- 12/21/23 Update Your Records: New Medicare Open Access PPO Members and ID Cards
- 12/21/23 Utilization Management: How to Avoid Delays and Denied Claims
- 12/19/23 Appropriate Use of Opioids Program to be Retired January 2024
- 12/15/23 BCBSOK began issuing direct payment to out-of-network providers, effective Nov. 1, 2023
- 12/13/23 Remind Our Members about Cervical and Breast Cancer Screenings
- 12/13/23 Hospitals Must Provide Medicare Outpatient Observation Notice
- 12/13/23 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
- 12/13/23 Monitoring Children Using ADHD Medication
- 12/13/23 Pharmacy Program Quarterly Update Changes Effective Jan. 1, 2024 – Part 1
- 12/08/23 BCBSOK’s Approach to Managing GLP-1 Agonist Medications
- 12/08/23 Centers for Medicare and Medicaid Services guidelines for Availability and Access Standards to Care for Medicare Advantage Members
- 12/07/23 Reminder: Update Your Records with New Mailing Address for Paper Commercial Claims and Inquiries
- 12/06/23 Prior Authorization Codes Updated for Commercial Members
- 12/06/23 Prior Authorization Code Updates for Medicare Advantage
- 12/06/23 Three New ClaimsXtenTM Rules to be Implemented March 2024
- 11/29/23 Oral Oncology Pharmacy Network Transitioned to IntegratedRx™
- 11/29/23 Advisory on Telemedicine Services – Using Place of Service Codes on Commercial Claims
- 10/26/23 Training Resources for Behavioral Health Care
- 10/26/23 New Email Address for Electronic Commerce Services
- 10/25/23 Encourage Annual Eye Exams for Members with Diabetes
- 10/24/23 Webinar on Coding for Annual Health Assessments
- 10/24/23 Chronic Kidney Disease Management Strategies for Primary Care Providers
- 10/24/23 BlueApprovRSM Now Accepts Online Recommended Clinical Reviews for Behavioral Health — Attend a Training
- 10/18/23 Provider Finder® to Highlight ‘Top Performing Physicians’
- 10/13/23 See New Enhancements for Behavioral Health Preservice Reviews Effective Nov. 6
- 10/13/23 New CPT Codes for COVID-19 Vaccines and Vaccine Administration
- 10/10/23 Join Us for a Webinar on Coding for Vascular Disease
- 10/05/23 Coordinating Care after Hospital Discharges to Help Reduce the Chances of Readmissions
- 10/04/23 BCBSOK Will Begin Provisional Credentialing, Effective Nov. 1, 2023
- 09/29/23 Update Your Records: New Mailing Address for Paper Commercial Claims and Inquiries
- 09/29/23 Medical Oncology, Radiation Oncology Category Removal from eviCore and other code updates for Prior Authorization for Medicare, Jan. 1
- 09/29/23 Musculoskeletal, Cardiology Expansion and other Prior Authorization Codes Updated for Commercial Members, Effective Jan. 1, 2024
- 09/27/23 Quarterly Pharmacy Program Update - Changes Effective October 1, 2023 - Part 2
- 09/26/23 MyBlue HMOSM Frequently Asked Questions
- 09/20/23 Survey Assesses Medicare Advantage Members’ Health Outcomes
- 09/20/23 Update Your Records: New Mailing Address for Paper Commerical Claims
- 09/11/23 BlueApprovRSM Now Accepts Online Recommended Clinical Reviews (Formerly Predeterminations) — Attend a Training
- 09/08/23 Utilization Management Denials Provider Guide (Commercial Networks Only)
- 09/08/23 Select Medication List to be Discontinued
- 09/05/23 Supporting Quality Care During Breast Cancer Awareness Month
- 08/25/23 Current Procedural Terminology® (CPT®) Codes Updated for Prior Authorization for Medicare, Oct. 1
- 08/25/23 Updates to Clinical Practice and Preventive Care Guidelines
- 08/24/23 ClaimsXten™ Quarterly Update Effective Dec. 4, 2023
- 08/16/23 Shared decision-making aids can help guide care choices
- 08/15/23 Avalon Trial Claim Advice User Guide
- 08/15/23 Helpful Tips: Avalon - Lab Management Program for BCBSOK Members
- 08/14/23 Introducing Claim Reconsideration Requests via Availity® Essentials
- 08/08/23 Helpful Tips: Utilizing the Carelon Provider Portal
- 08/03/23 Submitting Claims for Infertility Services
- 08/01/23 Prior Authorization Codes Updated for Commercial Members, Effective Oct. 1, 2023
- 08/01/23 Current Procedural Terminology® (CPT®) Codes Updated for Prior Authorization for Medicare, Oct. 1
- 07/28/23 Reporting On-Demand via Availity® Essentials is Now Named Provider Claim Summary
- 07/28/23 Pharmacy Program Quarterly Update Changes Effective October 1, 2023 – Part 1
- 07/25/23 Claim Editing Changes for Professional Emergency Department Services Coming Nov. 1, 2023
- 07/17/23 Medicare Providers May Treat Medicare Advantage Flex and Group Medicare Advantage Open Access PPO Members
- 07/05/23 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023
- 07/05/23 Webinar on Coding for Morbid and Severe Obesity
- 06/29/23 In-Home Test Kits for Colorectal Cancer Screening
- 06/20/23 Member Rights and Responsibilities
- 06/20/23 Provider Rights and Responsibilities
- 06/07/23 Preparing for 2023 Summer HEDIS Medical Record Collection
- 06/05/23 New Availity Eligibility & Benefits Experience
- 06/01/23 Catch Up on Routine Vaccines and Well-Child Visits
- 05/25/23 ClaimsXtenTM Announces Software Version Upgrade
- 05/25/23 Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization for Medicare, July 1
- 05/25/23 Prior Authorization Codes Updated for Commercial Members, Effective July 1
- 05/25/23 Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use
- 05/18/23 PEAQSM Provider Performance Insights (PPIs)
- 05/10/23 Coverage for Telemedicine Services when the Public Health Emergency Ends May 11
- 05/08/23 Medical Records Reminder for Out-of-Area Medicare Advantage Members
- 05/04/23 ClaimsXten™ Quarterly Update Effective August 21, 2023
- 05/03/23 BlueApprovRSM Expedites Medical, Surgical, Pharmacy, Behavioral Health Prior Authorization — Attend a Training
- 05/03/23 Medicare Advantage Annual Wellness Visit: Webinar and Resources
- 05/02/23 Helping Our Members Manage Diabetes
- 04/27/23 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023
- 04/20/23 Members can now access network of pharmacies at accredited cystic fibrosis treatment centers
- 04/18/23 Coding Webinars
- 04/14/23 Behavioral Health Consultations During Hospitalization Can Improve Outcomes
- 04/11/23 Health Insurance for American Indians and Alaska Natives
- 04/04/23 Track Care Visits During and After Pregnancy
- 03/31/23 BlueApprovRSM Expedites Medical, Surgical, Pharmacy, Behavioral Health Prior Authorization — Attend a Training
- 03/30/23 Pharmacy Program Quarterly Update, Part 2
- 03/30/23 Current Procedural Terminology® (CPT®) Codes Updated for Prior Authorization for Medicare, July 1
- 03/30/23 Prior Authorization Codes Updated for Commercial Members, Effective July 1, also watch for Medical Oncology Portal Enhancements
- 03/16/23 Caring for Substance Use Disorders
- 03/16/23 Monitoring Children Using ADHD Medication
- 03/16/23 Screening and Follow-Up Care for Maternal Mental Health
- 03/10/23 AIM Specialty Health Changes Its Name to Carelon Medical Benefits Management
- 03/03/23 Earn Continuing Education Credit through Webinar on Opioids
- 03/03/23 Earn Continuing Education Credit through Webinar on Maternal Mental Health
- 02/21/23 Pharmacy Program Quarterly Update, Part 2: Changes Effective Jan. 1, 2023
- 02/20/23 Cultural Awareness Webinars: Earn Continuing Education Credit
- 02/17/23 New for 2023: Specialty Pharmacies Added In-Network
- 02/16/23 BlueApprovRSM Expedites some Prior Authorizations — Attend a Training Soon to Learn More
- 02/09/23 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2023 – Part 1
- 02/09/23 Verify Your Directory Details Every 90 Days
- 02/08/23 More Access for Medicare Patients and Providers
- 02/03/23 Survey to Assess Medicare Advantage Members’ Experiences
- 02/02/23 Closing Gaps in Colon Care
- 02/02/23 Quality Care: Screening for Depression
- 01/27/23 CPT Category II Codes Can Help Close Care Gaps
- 01/09/23 Prior Authorization Codes Updated for Commercial Members, Effective April 1
- 01/09/23 Current Procedural Terminology® (CPT®) Codes Updated for Prior Authorization for Medicare, April 1
- 01/09/23 ClaimsXten™ Quarterly Update Effective April 17, 2023
- 01/05/23 Supporting Heart Health Equity