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Previous News & Updates Articles

CMS Notifications Medicare Advantage Plans

2020

12/31/20 Updates to Clinical Practice Guidelines
12/31/20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021 – Part 2
12/31/20 BCBSTX Federal Employee Program Annual Medical Record Data Collection for Quality Reporting
12/30/20 Update: COVID-19 Initiatives Extended
12/30/20 Update: Making It Easier to Transfer Members to Post-Acute Care
12/30/20 Telemedicine and Telehealth Services Clinical Payment and Coding Policy Updates
12/29/20 Clinical Payment and Coding Policy Update – 12/29/2020
12/29/20 Preventive Services Clinical Payment and Coding Policy Update
12/29/20 Clinical Payment and Coding Policy Update – 12/29/2020
12/29/20 Infusion Site of Care Drugs Prior Authorization Update
12/24/20 Update to Prior Authorization Codes for Commercial Members
12/23/20 COVID-19 Fee Schedule/Reimbursement Update
12/21/20 Tiered Payment Rate Modifiers for ABA Effective April 1, 2021
12/21/20 COVID-19 Vaccines and Coverage
12/16/20 Office Based Professional Providers – Credentialing
12/16/20 Obtain BCBSTX Patient ID Numbers for Government Program Members via Availity^®
12/16/20 Clinical Payment and Coding Policy Update – 12/16/2020
12/14/20 Clinical Payment and Coding Policy Update – 12/14/2020
12/14/20 Clinical Payment and Coding Policy Update – 12/14/2020
12/14/20 Use AIM ProviderPortal^SM for Pre & Post-Service Reviews
12/10/20 Prior Authorization Has a New Home: Utilization Management
12/07/20 Delayed New Electronic Duplicate Claim Rejections for Commercial Claims
12/02/20 Clinical Payment and Coding Policy Update - 12/02/2020
12/01/20 COVID-19 Preparedness: Lab Code Update
12/01/20 Register Now: Addressing Concerns of Vaccine-Hesitant Parents Webinar
11/25/20 Financial Liability for Experimental, Investigational & Unproven Services
11/25/20 Updates on our Prior Authorization Expansion to AIM^®
11/23/20 Medicare adds benefit for members with inherited ovarian or breast cancer
11/23/20 Billing information on free bamlanivimab
11/23/20 Update: COVID-19 Initiatives Extended
11/23/20 Update: Making It Easier to Transfer Members to Post-Acute Care
11/20/20 New Electronic Duplicate Claim Rejections for Commercial Claims
11/19/20 Depression and Diabetes
11/19/20 Magellan's Webinar Series: Improve patient outcomes
11/19/20 Magellan Connection: Partnering with PCPs for Behavioral Healthcare
11/19/20 Clinical Payment and Coding Policy Update - 11/19/2020
11/17/20 New HEDIS^® Tip Sheets
11/16/20 View BCBSTX Member ID Cards via Availity^®
11/12/20 Telemedicine and Telehealth Clinical Payment and Coding Policy Update Including Change to Code Q3014
11/09/20 Billing for Psychological and Neuropsychological Testing
11/06/20 Check Multiple Patient’s Eligibility and Benefits via Availity^®
11/06/20 Encourage Regular Pre- and Post-Natal Care
11/06/20 Hospital Discharge Summaries Both Empowers and Informs
11/06/20 Benefits of Collaborating with Eye Care Providers
11/05/20 Clinical Payment and Coding Policy Update - 11/05/2020
11/04/20 Submit Electronic Claims via Availity^® at No Cost!
11/04/20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021 – Part 1
11/04/20 Screening and Treament of Depression
11/03/20 Clinical Payment and Coding Policy Update - 11/03/2020
10/30/20 Update to Prior Authorizations - 01/01/2021
10/29/20 Going Green! Review Website for Disclosure Updates
10/27/20 Coordination of Care CME/CEU Webinar
10/20/20 Availity^® Claim Status Tool Available for All Members
10/20/20 2020 Annual HEDIS^®/Quality Rating System Reports
10/16/20 Are You Using Shared Decision-Making Aids?
10/15/20 TRS Behavioral Health Prior Authorization Forms
10/13/20 New Prior Authorization Lists for Blue Cross Medicare Advantage℠ January 1, 2021
10/12/20 Blue High Performance Network^SM (Blue HPN)^SM to launch in January 2021
10/08/20 Submitting Predetermination of Benefits Update
10/08/20 Availity^® Provider Portal Offerings
10/07/20 Clinical Payment and Coding Policy Update
10/07/20 Clinical Payment and Coding Policy Updates
10/06/20 Requests for Medical Records
10/06/20 Revision to Non-Reimbursable Experimental, Investigational and/or Unproven Services Policy
10/02/20 Telemedicine and Telehealth Clinical Payment and Coding Policy Update
10/01/20 Provider Finder^® Upgraded!
10/01/20 Clinical Payment and Coding Policy Update
10/01/20 Telehealth – Future State
09/28/20 Preventive Services Clinical Payment and Coding Policy Update
09/28/20 Clinical Practice and Preventive Care Guidelines Updated for 2020-2021
09/28/20 Prior Authorization Expansion to AIM^®
09/28/20 Itemized Bills Required for BlueCard^® Facility Claims Over $100k
09/23/20 Introducing the Blue High Performance Network^SM (Blue HPN)^SM
09/21/20 Behavioral Health HEDIS Tip Sheets: FUA and FUM
09/18/20 2020-2021 Preventive Care Guidelines
09/18/20 Childhood Immunization Rates Fall Amidst Pandemic Fears
09/18/20 Clinical Payment and Coding Policy Updates
09/17/20 What You Need to Know About Substance Abuse
09/16/20 Colorectal Cancer Screening at Home
09/14/20 Share Your Medication Assisted Treatment Designation
09/12/20 Provider Finder^® Gets an Upgrade
09/11/20 COPD and Spirometry
09/09/20 Update: Telehealth Visits - Medicare Advantage
09/03/20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2020 – Part 2
09/02/20 Verify Prior Authorization Requirements via Availity^®
09/01/20 ERS Mental Health Prior Authorization Forms
09/01/20 In-Home Test Kits for Diabetics
09/01/20 Clinical Payment and Coding Policy Updates
09/01/20 Obtain BCBSTX Patient ID Number Online
08/31/20 Change to HMO Outpatient Clinical Reference Lab Services
08/31/20 Blue Distinction^® Message via the Availity^® Eligibility and Benefits Results
08/26/20 Update COVID 19 FAQs for Medicare Providers
08/25/20 Telehealth Visits - Medicare Advantage
08/24/20 Mental Health Program Changes Reminder
08/19/20 New HEDIS^® 2020-21 Tip Sheets: CBP, CIS3, COL, SPR
08/19/20 Physical Therapy Benefits to be Contained Within the IVR Phone System as of Sept. 8, 2020
08/14/20 COVID-19: Texas Provider FAQs
08/14/20 Update: COVID-19 Testing and Treatment Coverage
08/14/20 Update: Using Telemedicine and Telehealth in Response to COVID-19
08/14/20 Update: COVID-19 Initiatives Extended
08/14/20 Correction -Clinical Payment and Coding Policy Update
08/10/20 Learn More About TRS-ActiveCare Plans
08/10/20 iExchange^® Deactivation Aug. 17, 2020
08/07/20 Clinical Payment and Coding Policy Updates
08/04/20 COVID-19 Preparedness: Oxygen Therapy Update
08/04/20 2019 In-home Colorectal Cancer Screening Testing Quality Improvement Initiative
08/01/20 HealthSelect of Texas^® Out-of-State Behavioral Health Prior Authorizations
07/31/20 Medicare Crossover Claim Submissions
07/31/20 Medicare Corrected Claims
07/29/20 Update: Making It Easier to Transfer Members to Post-Acute Care
07/27/20 Update: New Group – Teacher Retirement System (TRS) Training
07/27/20 Submit Predetermination Requests Online via Availity^®
07/27/20 Behavioral Health Measures from HEDIS^®
07/27/20 COVID-19 Preparedness: Update to COVID-19 Lab Codes
07/27/20 Free Webinar and CME: Depression? How Do You Know?
07/24/20 Imaging Studies for Low Back Pain
07/23/20 AIM Prior Authorization Expansion Training
07/22/20 COVID-19 Provider Preparedness Updates
07/20/20 Colorectal Cancer Screening at Home
07/15/20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2020 – Part 1
07/13/20 Payment Updates for Contracted Providers
07/13/20 Remember to use In-Network Laboratories
07/13/20 Email Address Verification
07/13/20 COVID-19 FAQs for Medicare Providers Update 071320
07/09/20 Clinical Payment and Coding Policy Updates
07/06/20 COVID-19 Preparedness: Update to Testing and Antibody Testing Sections
07/02/20 ClaimsXten^TM Rule Descriptions
07/01/20 Update: Behavioral Health Program Changes for HealthSelect of Texas^® - Sept.1
07/01/20 COVID-19 Coverage Updates for Medicare Providers
06/30/20 COVID-19: Update to ERS Telehealth End Date
06/30/20 COVID-19 Preparedness: Update to Testing and Antibody Sections Codes
06/29/20 Procedure Code Updates for Prior Authorization
06/29/20 Preventive Services Clinical Payment and Coding Policy Update
06/29/20 CPCP018 Revenue Codes Requiring CPT or HCPCS Codes Update
06/29/20 Update: COVID-19 Treatment and Telehealth/Telemedicine Cost-Share
06/26/20 AIM Specialty Health^® (AIM) to Perform Utilization Management
06/23/20 CMS Payment Adjustments for Medicare Providers
06/22/20 Federal Agencies Extend Timely Filing and Appeals Deadlines
06/17/20 Importance of a Great Discharge Summary
06/17/20 Claims for Medications with Outer Packaging
06/11/20 Behavioral Health Program Changes Reminder
06/10/20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2020 – Part 2
06/08/20 Clinical Payment and Coding Policy Updates
06/05/20 Have You Heard About The New Texas Surprise Billing Law?
06/04/20 Update: Credentialing Process Simplified for COVID-19
06/03/20 Blue Cross Medicare Advantage Prior Authorization Updates effective Sept. 1, 2020
06/02/20 Prior Authorization Code Changes for Administrative Services Only Members
05/29/20 Clinical Payment and Coding Policy Updates
05/26/20 In-home Colorectal Cancer Screening Test for Eligible Members
05/22/20 Billing and Documentation Information Requirements Reminder
05/22/20 eviCore^® Prior Authorization Code Changes Effective April 20, 2020
05/22/20 Learn to Use the eviCore Web Portal
05/21/20 Register for our COVID-19 Webinar
05/19/20 COVID-19 Preparedness Updates to Coverage, Claims and Testing
05/19/20 Resources for Providers/Members
05/14/20 New Annual Wellness Visit Resources for Medicare Providers
05/13/20 Changes to Contacting Electronic Commerce Services
05/13/20 New Group – Teacher Retirement System (TRS) Effective Sept. 1, 2020
05/12/20 Prior Authorization on Previously-Approved Elective Surgeries, Procedures, and Therapies
05/09/20 Clinical Payment and Coding Policy Updates
05/06/20 BlueCard Alert^®: Prime Healthcare Member Required Authorizations for Care
05/01/20 Survey Closed: COVID-19 Telehealth/Telemedicine Capabilities
04/28/20 Making It Easier to Access Chest CT Scans
04/28/20 COVID-19: Thank You to Health Care Providers
04/27/20 Join ParPlan
04/22/20 Billing for Point-of-Use Convenience Kits
04/20/20 2 Clinical Payment and Coding Policy Updates
04/20/20 Alert: iExchange^® Deactivation Extended
04/17/20 Check Eligibility and Benefits: Don't skip this step!
04/16/20 COVID-19: Texas Provider FAQs
04/15/20 Behavioral Health Program Changes for HealthSelect of Texas^® - Sept.1
04/13/20 Quarterly Pharmacy Changes Effective July 1, 2020 – Part 1
04/13/20 Survey: COVID-19 Telehealth/Telemedicine Capabilities
04/08/20 Blue Cross Medicare Advantage Orientation Training Webinar
04/07/20 3 Clinical Payment and Coding Policy Updates
04/02/20 BCBSTX Waives Customer Cost-Sharing for COVID-19 Treatment
04/02/20 iExchange^® Ends 04/15/2020 - Use Availity^® Authorizations & Referrals
04/01/20 Updated: Using Telemedicine and Telehealth in Response to COVID-19
03/31/20 Preventive Services Clinical Payment and Coding Policy Update
03/27/20 Medicare Advantage Provider Call Center Lines Experiencing Longer Hold Times
03/27/20 COVID-19 Preparedness Updates to Claim Submissions and Telemedicine and Telehealth
03/23/20 Telemedicine Cost-Sharing for Fully Insured Members
03/20/20 Using Telemedicine and Telehealth in Response to COVID-19
03/20/20 Quarterly Pharmacy Changes Effective April 1, 2020 – Part 2
03/20/20 Using the Online tool to search for Doctors and Hospitals
03/18/20 ACOs Results Prove the Future is Value-Based Care
03/18/20 Clinical Payment and Coding Policy – Inpatient Readmissions
03/17/20 Clarification: New BCBSTX 837 Commercial Claim Validation Edits Effective April 1, 2020
03/11/20 2019 Executive Summary and 2020 Goals
03/10/20 Clinical Payment and Coding Policy Updates
02/27/20 New BCBSTX 837 Commercial Claim Validation Edits Effective April 1, 2020
02/21/20 CAHPS^® Survey: We All Play a Role
02/21/20 Get the Conversation Started on Colorectal Cancer
02/20/20 Three New ClaimsXten^TM Rules to be Implemented June 2020
02/19/20 Thanks for Responding to the HHS-RADV Initial Validation Audit!
02/19/20 Behavioral Health Program Changes for Some Provider Networks
02/18/20 Resolved: Electronic Payment and Remittance Delivery Delay
02/17/20 Change to Prior Authorizations for HealthSelect of Texas® Effective March 1, 2020
02/17/20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2020 – Part 1
02/17/20 New Authorizations & Referrals Tool via Availity^® Provider Portal: Revised Launch Date of Feb. 17, 2020
02/14/20 Electronic Payment and Remittance Delivery Delay
02/07/20 Update: eviCore^® OB Ultrasound Submission Process
01/30/20 Drug Testing Clinical Payment and Coding Policy
01/30/20 Implementation Delay: Authorizations & Referrals via Availity^® Provider Portal
01/24/20 Reminder: Fee Schedule Update March 1, 2020
01/23/20 Prior Authorization Changes for Certain BCBSIL Members in Texas
01/20/20 Two New ClaimsXten^TM Rules to be Implemented in 2020
01/17/20 HMO Plans- PCP Selection and Referral Requirements
01/09/20 Reminder MyBlue Health^SM Network Effective 1/1/2020
01/08/20 Updates to Behavioral Health Clinical Practice Guidelines for 2019-2020
01/08/20 Clinical Payment and Coding Policies – Preventive Services Policy
01/07/20 Reminder: New Online Enrollment Process for 835 EFT and ERA through the Availity^® Provider Portal
01/03/20 Availity Authorization Tool via Availity^® and the Deactivation of iExchange
01/01/20 Annual Medical Record Data Collection for Quality Reporting Begins Feb. 1, 2020

2019

2018

12/28/18 CenturyLink Outage Impacting Services
12/28/18 Updates to Clinical Payment and Coding Policies
12/26/18 Update to Online Provider Onboarding Process for Joining Our Networks
12/26/18 Update to Additional Detail for BCBSTX Preauthorization Requirements Beginning January 1, 2019
12/24/18 2019 Holiday Schedule Reminders
12/24/18 Quarterly Pharmacy Changes Effective October 1, 2018
12/24/18 Notification of Annual Benefit Updates
12/21/18 Responding to Electronic Quality and Risk Adjustment Medical Record Requests Via Availity^®
12/20/18 Verifying Procedure Code Preauthorization Requirements Online
12/20/18 Close HEDIS^® Gaps easily through the Availity^® Provider Portal
12/17/18 Federal Judge Rules Individual Mandate Unconstitutional. Nothing Changes for Our Members.
12/14/18 1^st Quarter Provider Training Webinars
12/14/18 Automated Phone System Change for Behavioral Health Services
12/13/18 Annual Reminder: Medicare Outpatient Observation Notice Required
12/06/18 The Magellan Connection: Partnering with PCPs to manage their patients’ behavioral healthcare needs
12/06/18 2019 Benefit Preauthorization Changes: Training, Reminders and Resources
12/05/18 BlueCompare for Physicians
12/03/18 Check Online for Procedure Code-Specific Benefit Preauthorization Requirements
11/30/18 Urine Drug Testing Documentation Guidelines
11/29/18 Update to Clinical Payment and Coding Policies – CPCP003
11/20/18 Federal Employee Program^® (FEP^®) Introduces FEP Blue Focus
11/20/18 Updates to Clinical Payment and Coding Policies
11/20/18 Urine Drug Testing Documentation Guidelines
11/12/18 Updated New Preauthorization Requirements for Blue Choice PPOSM H-E-B Members Only Effective Jan. 1, 2019
11/12/18 New ‘Pre-Authorization Info’ Tab on the Availity^® Provider Portal Eligibility and Benefits Results
11/09/18 FEP Benefits Changes for Infliximab Effective Jan. 1, 2019.
11/01/18 Preferred Site of Care Claim Adjustments
10/29/18 It’s here! Online Provider Onboarding Process for Joining Our Networks
10/29/18 Preventive Care Guidelines Are Available
10/26/18 Updates to Clinical Payment and Coding Policies
10/25/18 Changes to Home Sleep Study Prior Approval Requirements for FEP Members
10/24/18 Annual HEDIS/QRS Reports
10/24/18 The Cost of Treating Individuals with Antibiotic Resistance
10/23/18 Importance of Diabetic Eye Exam
10/22/18 Delay of New Online Application Process for Joining our Networks
10/22/18 2/1/19 Update to the Blue Cross Medicare Advantage Preauthorization List
10/22/18 Correction to the ERS Specialty Drug List for Makena and Inflectra
10/22/18 Proper Documentation of Obstetrical Care
10/19/18 Alert - Texas Credentialing Verification Organization
10/18/18 Too Much Screen Time?
10/17/18 Proper Coding is Crucial with 'Annual Visit' Campaign
10/12/18 Preventive Care Guidelines Update
10/11/18 Close HEDIS^® Gaps easily through the Availity^® Provider Portal
10/08/18 Preauthorization Requirements for H-E-B Members Only Effective 1/1/19
10/05/18 Medicare Advantage Interpreting the PLB segment on 835
10/03/18 Prepping for the 2018-2019 Flu Season
10/03/18 BCBSTX Preauthorization and Prenotification Changes Beginning January 1, 2019
09/18/18 Inpatient Services Require Preauthorization
09/17/18 01/01/2019 Update to the Blue Cross Medicare Advantage Preauthorization List
09/14/18 Medical Policy and Coverage for Amniotic Membrane and Fluid
09/13/18 Prostate Cancer Screening Benefit Level Change
09/13/18 4^th Quarter Provider Training Webinars
09/13/18 eviCore Hold Times May Increase Due to Hurricane Florence
09/07/18 New Application Process for Joining Our Networks
09/07/18 New Lactation Consultation Designation added to Demographic Change Form
09/05/18 Update to the HealthSelect Prior Authorization List for Cologuard Screening through eviCore
09/04/18 Prepping for the 2018-2019 Flu Season
08/30/18 10/01/18 Update to the Blue Cross Medicare Advantage Preauthorization List
08/30/18 Correction to the HealthSelect Sleep DME Preauthorization Procedure Codes List
08/27/18 Making the Health Care System Work: 5 Stories You'll Want to Read from Year One
08/23/18 2019 Medicare Marketing Guidelines
08/21/18 In-home Colorectal Cancer Screening Test
08/21/18 Women’s Health Alert - Are your patients getting their mammograms?
08/15/18 Appropriate Use of Opioids Program Launched August 1, 2018
08/15/18 Medicare Advantage Prior Auth list update 9/1/18
08/10/18 Pharmacy Program Updates Quarterly Pharmacy Changes
08/10/18 Government Programs: Electronic Claim-related Process Improvements and Reminders
08/07/18 Voluntary Recall of Medications Containing the Valsartan Active Ingredient
08/07/18 Important Reminder: Claims Will Deny if Rendering NPIs are not on File with BCBSTX
08/01/18 Correction to the 2018 Newly Effective Preauthorization Procedure Codes List
07/31/18 ERS Sleep Authorization Requirements
07/26/18 New Updates to Clinical Payment and Coding Policies
07/23/18 BCBSTX Implementing Two ClaimsXtenTM Updates to Add-On Without Base Rule
07/20/18 New Preventive Service for Medicare Members
07/12/18 Update to Clinical Payment and Coding Policy - Effective 10/12/18
07/12/18 Electronic Replacement/Corrected Claim Submissions
07/10/18 Online Magazine Making the Health Care System Work Spotlight
07/06/18 ‘Annual Visit’ Campaign Leads to Importance of Proper Coding
06/27/18 Updates to Clinical Payment and Coding Policies Effective 10/1/2018
06/26/18 Update to the Blue Cross Medicare Advantage Preauthorization List
06/18/18 Cancer Prevention: The Added Value in Adolescent Immunizations
06/18/18 Annual Health Assessment
06/15/18 The Keys to Unlocking a Great Discharge Summary
06/15/18 Update to the BCBSTX Predetermination Request Form
06/14/18 High-dose Influenza Vaccine Guidelines
06/14/18 New eviCore Email Notification for Utilization Management Decisions
06/04/18 Coding Opportunities Available Using CERA On Availity^®
06/04/18 Updates to Clinical Payment and Coding Policies
06/01/18 Select Specialty Medications to Transition to Accredo^® Specialty Pharmacy
05/29/18 Provider Finder^® Update
05/24/18 Additional 2018 Provider Training Webinars
05/18/18 Billing Qualified Medicare Beneficiary for Medicare
05/15/18 Blue Cross Medicare Advantage PPO^SM Group Retiree
05/14/18 Prime Therapeutics^® and Walgreens^® Combined Specialty and Home Delivery Pharmacy Services Company Brand Launch Completed Important E-Prescribing Changes
05/10/18 Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
05/02/18 HealthSelect of Texas Prior Authorizations Requested by Covering Physicians
04/26/18 Modifier 25 and 59 FAQ
04/25/18 Correction to the ERS Specialty Drug List
04/16/18 Pharmacy Program Updates Effective 4/1/18
04/13/18 ERS Prior Authorization Requirement Update – 491 Outpatient Procedures Removed
04/09/18 - Blue Essentials Access^SM Benefit Plan
04/06/18 - BCBSTX Using Aperture^® for Credentialing Notifications
04/04/18 Telemedicine and Telehealth Services - Clinical Payment & Coding Policy
04/02/18 Updated Online NDC Units Calculator Tool Available
04/02/18 Updates to Clinical Payment and Coding Policies
03/29/18 Multiple Procedure Payment Reduction Effective July 1, 2018 For Certain Diagnostic Cardiovascular and Ophthalmology Procedures
03/28/18 Texas Behavioral Health Provider Education Session
03/26/18 Services Rendered by Providers to Related Members and/or Self
03/22/18 Blue Cross and Blue Shield of Texas (BCBSTX) Approves Coverage of New Shingles Vaccine Shingrix
03/14/18 Blue Cross Medicare Advantage Pharmacy Provider
03/05/18 Correction to HMO Plans – PCP Selection and Referral Requirements
03/02/18 Helpful Tips for Sending in Requested Documents
03/02/18 Advanced Radiology Imaging Preauthorization for Blue Choice PPO with Health Advocacy Solution
02/20/18 Update: Additional Benefit Preauthorization Requirements for 2018
02/20/18 New Preauthorization Requirements for Blue Choice PPO^SM HEB members
02/15/18 iExchange^® FAQ for ERS HealthSelect^SM of Texas Participant Referrals
02/14/18 Quarterly Pharmacy Changes Effective Jan.1, 2018
02/12/18 Infusion Therapy Prior Authorization for ERS Participants
02/08/18 Quality Improvement Program Information Available to Providers
02/08/18 Availity^TM Claim Research Tool Offers Enhanced Claim Status Results
01/31/18 Services Not Requiring PCP Referrals for ERS HealthSelect of Texas^SM Participants
01/24/18 Electronic Commerce Services – Hours of Operation Update
01/19/18 2018 Updates to the Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Medicare Advantage (HMO)^SM Preauthorization Lists
01/12/18 ERS Chiro, PT, OT, ST Therapy Prior Authorization/Referral Update

2017

12/29/17 Update to ERS Prior Authorization of Outpatient Surgeries
12/29/17 How to Find BCBSTX Resources in Availity^TM Payer Spaces
12/27/17 Blue Choice PPO Preauthorization Changes
12/26/17 Authorizations Not Required for ERS Participants When Medicare is Primary
12/22/17 2018 Holiday Schedule Reminder
12/21/17 FEP Skilled Nursing Benefit Change
12/20/17 Behavioral Health Changes for Boeing Members
12/20/17 Update: BCBSTX to Resume Pre-Hurricane Harvey Business Operations
12/15/17 Notification of Annual Benefit Updates
12/15/17 Preventive Care Guidelines Are Available
12/15/17 Medical Record Data Collection for Quality Reporting Begins 2/1/18
12/15/17 Remittance Viewer Webinar Updates
12/14/17 Pharmacy Benefit Tips
12/14/17 iExchange Training
12/14/17 Back to Basics: AvailityTM 101 Webinars
12/13/17 Update to DME/Prosthetics & Orthotics Fees
12/07/17 BCBSTX System Outage
11/27/17 Reimbursement Percentage Update for Modifier 52 - Clarification
11/27/17 Correction to the ERS Specialty Drug List
11/24/17 Magellan Connection: Partnering with PCPs
11/24/17 Quarterly Pharmacy Program Updates
11/20/17 Processing Claims for Preventive Colonoscopies
11/15/17 New Medical Record Retrieval Vendor for Blue Card Plan Member Records
11/15/17 Zero Copay for Preventative Services Reminder for Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Medicare Advantage (HMO)^SM
11/14/17 Blue Options Benefit Plan Design No Longer Offered Effective 12/31/2017
11/10/17 New Medical Record Retrieval Vendor for Blue Card Plan Member Records
11/09/17 BCBSTX to Require Adherence to Vaccine Guidelines
11/09/17 New Online Magazine Spotlights Emerging Episodes of Care Payment Model
11/08/17 In Home Colorectal Cancer Screening or Hemoglobin A1c Test Kits for Blue Advantage^SM Blue Advantage Plus^SM and Federal Employee Program^® Members
10/31/17 Provider Manual Updates
10/31/17 Preauthorization/Prior Authorization Rules and Retrospective Reviews for Medical Necessity
10/27/17 New Applied Behavior Analysis Service Request Forms
10/25/17 Requesting Predetermination of Benefits
10/20/17 Reimbursement Percentage Update for Modifier 52 (Reduced Services)
10/18/17 Government Programs: 835 Electronic Remittance Advice (835 ERA) Update
10/10/17 Government Programs: Claims Rejecting as Duplicate Submissions
10/10/17 Upcoming Availity Training Sessions
10/06/17 Fee Schedule Update
10/04/17 iExchange Training
10/02/17 Blue Choice PPO Preauthorization Changes
10/02/17 Blue Essentials Preauthorization Changes
10/02/17 Blue Advantage HMO & Blue Premier Preauthorization Changes
09/29/17 Hospital/Facility Based Medical Group Provider Language Attachment
09/27/17 Psychological and Neuropsychological Testing-Clinical Payment and Coding Policy Posted
09/19/17 Update: Special Severe Weather Message for Providers in the HealthSelect^SM Network
09/19/17 Medicare Advantage Claim Edits
09/18/17 Update: Texas Severe Weather: BCBSTX Responds to Help Providers
09/14/17 National Drug Code (NDC) Billing Update for Medicare Advantage Claims
09/06/2017 UPDATE: Prior Authorizations and Referrals for HealthSelect of Texas Participants can now be Submitted Through iExchange
08/23/2017 Notice of changes to Billing and Documentation Information and Requirements
08/17/2017 Update to the Recoupment Policy for Blue Essentials^SM, Blue Advantage HMO^SM, Blue Premier^SM and HealthSelect^SM Network
08/15/2017 Notice of changes to Billing and Documentation Information and Requirements
08/14/2017 Code-Auditing Enhancement
08/09/2017 Implant Payment and Coding
08/01/2017 Visit Our BCBSTX Provider Website for Electronic Funds Transfer & Electronic Remittance Advice Updated Information
07/31/2017 EFT and ERA Update for Non-Contracted Blue Cross Medicare Advantage Plan Providers
07/14/2017 Careful Documentation Paves the Way for Accurate Coding Capture
07/06/2017 Preventive Services Policy – Clinical Payment and Coding Policy Posted
06/30/2017 Blue Cross Medicare Advantage PPO Lab Guidelines
06/29/2017 Become a BCBSTX HealthSelect^SM of Texas provider today!
06/26/2017 NICU Level of Care Authorization and Reimbursement - Clinical Payment and Coding Policy Posted
06/22/2017 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2017
06/12/2017 Upcoming iExchange Webinars
06/12/2017 Remittance Viewer Webinars
06/12/2017 New ClaimsXten^TM Rules to be Implemented
06/06/2017 Back to Basics: Availity^TM 101 Webinars
05/31/2017 BCBSTX New Employer Group Plan – Employees Retirement System of Texas (ERS) Effective Sept. 1, 2017
05/26/2017 Announcing eviCore To Begin New Preauthorization Requirements for Blue Essentials^SM and Blue Essentials Access^SM
05/26/2017 Important Changes Impacting Claim Refunds for Blue Cross Medicare Advantage Plans
05/22/2017 In–Home Test Kits for FOBT/FIT & MAU Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Medicare Advantage (HMO)^SM Returning and New Members
05/22/2017 Additional Benefit Categories Contained in IVR Phone System
05/19/2017 2017 Benefit Option Highlights of Blue Essentials^SM
05/16/2017 Correction to the New Preauthorization Requirements through eviCore effective June 1, 2017 for Blue Cross Medicare Advantage HMO^SM and Blue Cross Medicare Advantage PPO^SM
05/04/2017 835 ERA Files Displaying '0' in the Check Number Field for Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Medicare Advantage (HMO)^SM
05/03/2017 Flublok Quadrivalent Billing Update
05/03/2017 Reminder: Pharmacy Program Benefit Changes – Effective January 1, 2017
05/03/2017 Benefit Information Accessible in the IVR Phone System
05/03/2017 Online Enrollment Options in Availity^TM
05/01/2017 Announcing eviCore To Begin New Preauthorization Requirements for Blue Choice PPO^SM, and Blue Premier^SM
04/24/2017 Evaluation and Management of Emergency Department Coding – Clinical Payment and Coding Policy Posted
04/24/2017 Inpatient Unbundling – Clinical Payment and Coding Policy Posted
04/19/2017 ClaimsXten^TM Announces Software Version Upgrade
04/13/2017 Back to Basics: Availity^TM 101 Webinars
04/07/2017 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective January 1, 2017 and April 1, 2017
03/28/2017 Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
03/16/2017 Rescheduled Implementation of Additional Code Auditing Software
03/10/2017 Missing 835 Electronic Remittance Advice (835 ERA) Files for Medicare Advantage (PPO)℠ & Medicare Advantage (HMO)℠
02/24/2017 Blue Cross Medicare Advantage HMO℠ and Blue Cross Medicare Advantage PPO℠ New Preauthorization Requirements through eviCore effective June 1, 2017
02/24/2017 Provider Claim Summary Paper Mailing Discontinuance: Effective Date Delay
02/22/2017 Medicare Outpatient Observation Notice for Blue Cross Medicare Advantage HMO^SM and Blue Cross Medicare Advantage PPO^SM
02/21/2017 Medicare Advantage Plans: Claim Payment Update
02/21/2017 Remittance Viewer Webinars
02/17/2017 Availity™ Claim Research Tool Offers Enhanced Status Results
02/10/2017 BCBSTX New Employer Group - Employees Retirement System of Texas (ERS) Effective Sept. 1, 2017
02/02/2017 Blue Cross Medicare Advantage^SM: Claim Rejections for Taxonomy Code
01/23/2017 Additional Code-auditing Software Scheduled for May 7, 2017 Implementation
01/23/2017 Reporting On-Demand Application Now Available via Availity
01/19/2017 Reminder: Urine Drug Testing Medical Policy Update
01/12/2017 Remittance Viewer Webinars
01/12/2017 Reminder: Important Changes Impacting Claims Submissions for BCBSTX Medicare Advantage Plans Effective Jan. 1, 2017
01/05/2017 Back to Basics: Availity^TM 101 Webinar Additional Webinars

2016