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, BlueCard and educational webinars.
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- PEAQSM Program Adds New Specialties for Cost Efficiency Analysis
- New Prior Authorizations Are Required for Home Health Care
- Remind Billing Agencies to Correctly Submit Claim Review Requests
- ClaimsXtenTM Quarterly Update
- Prior Authorization Changes
- Medical Records Needed to Support Quality Care
- Follow‑Up Care Is Recommended for Children Prescribed ADHD Medication
- Remind Our Members About Cervical and Breast Cancer Screenings
- New Gene Therapy Solutions Helps Monitor Results
- New Part D Quality Measures Track High‑Risk Medication Combinations
- Medicare Providers May Treat Members of Blue Cross Group Medicare Advantage Open Access (PPO)SM
- Appointment Wait Time Standards for Commercial Members Are Changing
- Medicare‑Like Rates to Apply to Claims for Some Self-Funded Tribal Plans
- Ensure Your Office Is Providing Your Most Current Information
- Keep Your Contact Information Updated to Receive Recredentialing Reminders
- Looking for Help? Contact Your Network Representative
- Clinical Payment and Coding Policy Updates
- Medical Policy Updates