2021 News Archive

Blue Review newsletter

12/30/21 ClaimsXten™ Quarterly Update Reminder
12/29/21 Delayed: New Lab Policies and Laboratory Management Program
12/29/21 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
12/29/21 Additional Commercial Claim Editing Enhancements Coming April 1, 2022
12/29/21 Hospitals Must Provide Medicare Outpatient Observation Notice
12/22/21 Webinar on Avoiding Antibiotics Overuse
12/17/21 Chiropractic and Mixed Therapy Benefits Will Be Contained in Our Automated Phone System as of Jan. 3, 2022
12/16/21 Maternal Health Food Distribution Program for Blue Cross Community Health Plans^SM Members
12/15/21 BCBSIL Medicare Advantage Plan Expansion in Illinois Beginning Jan. 1, 2022
12/08/21 Provider Rights and Responsibilities
12/08/21 Member Rights and Responsibilities
12/07/21 Watch for a Letter on Fighting Fraud, Waste and Abuse
12/06/21 Preventive and Follow-Up Colonoscopies, Changes Effective Jan. 1, 2022
12/03/21 BCBSIL Will Be Contacting Providers Soon for Telehealth Information
12/02/21 Prior Authorization Reform Act (Applies to Fully Insured Non-HMO and Illinois Medicaid Plans Only)
12/01/21 Commercial Prior Authorization: Code Updates Effective Jan. 1, 2022; Cardiology (Echo) Webinars in December
11/30/21 Payment Recovery Program Reminders
11/30/21 Free Flu and SAD Programs at Blue Door Neighborhood Center^SM Locations
11/29/21 New Laboratory Policies and Claim Simulation Tool Coming Jan. 1, 2022: Join Us for A Webinar to Prepare
11/23/21 Single Sign-On Access to AIM Specialty Health^® via Availity^®
11/22/21 COVID-19 Vaccine Billing for Medicare Advantage and MMAI Members
11/18/21 New Flexible Medicare Advantage PPO Plan
11/16/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 1
11/12/21 View Withdrawn Claim Descriptions via the Availity^® Claim Status Tool
11/10/21 Network Operations Reminder: Voicemail and Email Deactivation
11/05/21 Blue Review Readership Survey: Your Voice Matters
11/04/21 Catch Up on Vaccines for All Ages
11/03/21 COVID-19 Vaccines and Coverage
11/02/21 BCBSIL Moves to Streamline Coordination of Benefits (COB) for Members with Secondary Coverage
11/01/21 Introducing Electronic Clinical Claim Appeal Requests via Availity^® Provider Portal
10/29/21 Supporting Quality Care: Managing Diabetes
10/28/21 Avoiding Antibiotics for Acute Bronchitis
10/27/21 ClaimsXten^TM Quarterly Update Reminder
10/26/21 Blue Choice Opt PPO^SM Network Expanding Throughout Illinois
10/25/21 Free Diabetes Awareness Month Programs and More at Blue Door Neighborhood Center^SM
10/14/21 Surprise Billing Provisions of No Surprises Act
10/13/21 Continuity of Care Changes
10/13/21 New Information on Member ID Cards
10/12/21 Claim Editing Enhancements Coming Jan. 10, 2022
10/08/21 Consolidated Appropriations Act and Transparency in Coverage Final Rule
10/08/21 Provider Directory Information Verification
10/08/21 Machine-Readable Files
10/07/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 2
10/06/21 Blue Review Readership Survey: Your Voice Matters
10/05/21 Free Webinars on Vaccine Confidence and Pneumococcal Disease
10/04/21 Blue Door Neighborhood Center^SM Celebrates National Hispanic Heritage Month and Highlights Breast Cancer Awareness Month
10/01/21 Fertility Services for OSF Healthcare Members: New Prior Authorization Requirement, Effective Jan. 1, 2022
10/01/21 Prior Authorization Code Updates for Some Commercial Members, Effective Jan. 1, 2022
10/01/21 Government Programs Prior Authorization Update: Code Changes, Effective Jan. 1, 2022
10/01/21 Hypertension: Are your patients at risk?
09/30/21 New Laboratory Policies Coming Jan. 1, 2022
09/30/21 Are you using these shared decision-making aids?
09/29/21 Supporting Quality Care During Breast Cancer Awareness Month
09/28/21 Update: View Professional Provider Fee Schedules via Availity^®
09/27/21 2022 Telehealth Services
09/24/21 Relaxed COVID-19 Mitigation Measures May Equal More Flu
09/23/21 Fighting Fraud, Waste and Abuse: Billing a COVID-19 Vaccine Administration
09/16/21 Updated: COVID-19 Vaccines and Coverage
09/14/21 Reminder: Prior Authorization Vendor Change for Pharmacy Medical Oncology – Join Us for A Webinar
09/14/21 Immediate Action Required: Update Contact Information in IMPACT by September 15, 2021
09/13/21 Change to Some Primary and Secondary Claims Coordination, Effective Dec. 13, 2021
09/02/21 Coverage Replacement for Smoking Cessation Product CHANTIX^® Due to Voluntary Recall
09/01/21 Earn CME/CEU Credit at Free Webinar on Comorbid Conditions
09/01/21 Blue Door Neighborhood Center^SM Educates Communities About Childhood Obesity
08/27/21 Updates to Clinical Practice and Preventive Care Guidelines
08/26/21 Documentation and Coding Series: Obesity and Morbid Obesity
08/25/21 Remind Patients to Get Influenza Vaccination
08/23/21 HEDIS^® Measure: Annual Dental Visit (ADV) for Children and Adolescents
08/11/21 ClaimsXten^TM Quarterly Update Reminder
08/09/21 Availity^® Claim Status Response Enhancement for Government Programs Claims
08/04/21 New Video Features Medical Director Insights on Prior Authorization and Related Processes
08/03/21 Adhere to Human Papillomavirus (HPV) and Shingles Vaccine Guidelines
08/02/21 Begin Colorectal Cancer Screening for Our Members at 45 Years Old, Rather than 50
07/30/21 Upcoming Changes to Telehealth Cost-Sharing
07/30/21 Supporting Quality Care: Antidepressant Medication Management
07/29/21 We've Reorganized the Behavioral Health Program Section on Our Website
07/28/21 Blue Door Neighborhood Center^SM Celebrates Physical Opening of Locations
07/27/21 Updated: Wheelchair Medical Necessity and Home Evaluation Verification Form
07/21/21 Updated Provider Dispute Process Overview for Government Programs
07/15/21 BCCHP^SM Update for Manually Priced Durable Medical Equipment (DME) Devices
07/09/21 New Claim Edits for Blue Cross Community Health Plans^SM (BCCHP^SM)
07/07/21 Commercial Prior Authorization Update: Pharmacy Medical Oncology
07/01/21 Help Support Quality Care in Mental Health
06/30/21 New Illinois Uniform Electronic Prior Authorization Form For Prescription Benefits
06/30/21 Government Programs Prior Authorization Update: Code Changes, Effective Oct. 1, 2021
06/29/21 Closing Gaps in Care for Group Medicare Advantage (MA) Members
06/25/21 In-home Test Kits for Colorectal Cancer Screening
06/24/21 Prior Authorization Code Updates for Some Commercial Members, Effective Oct. 1, 2021
06/16/21 Current Procedural Terminology (CPT^®) Code Updates for Prior Authorization for Some Commercial Members
06/09/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2021 – Part 2
06/08/21 Utilization Management: Let’s Talk About It
06/08/21 Update: Blue Choice Opt PPO ^SM Network Expanding to All Illinois Counties
06/04/21 Reminder: Hospital 30-day Readmission Review Process for BCCHP ^SM and MMAI Members
06/03/21 Government Programs Prior Authorization Update: Code Changes, Effective July 1, 2021
06/03/21 Vision Loss May be Decreased by Focusing on Social Determinants of Health
06/01/21 We're Offering Programs to Help Address Social Determinants of Health
05/28/21 Supporting Quality Care: Alcohol and Other Drug Abuse or Dependence
05/27/21 Catch Up Now on Child and Adolescent Vaccinations
05/27/21 ClaimsXten ™ Quarterly Update Reminder
05/26/21 Earn CME/CEU Credit at Free Depression Webinar
05/26/21 Updated: Prior Authorization Requirements for Advocate Aurora Health Members
05/13/21 Update: Medicare Medicaid Alignment Initiative Expansion
05/12/21 EXL Health to Review Complex Claims July 1, 2021
05/10/21 Current Procedural Terminology (CPT ^®) Code Updates for Prior Authorization for Some Commercial Members
05/06/21 Free Virtual Camp for Kids with Diabetes and Their Families
05/06/21 Reminder: Single Access Point for EFT and ERA Enrollments
05/04/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2021 – Part 1
05/03/21 We Need You in June at the Blue Door Neighborhood Center ^SM (BDNC ^SM )
04/28/21 We’ve Streamlined Data Required for Review of Commercial Applied Behavior Analysis (ABA) Requests
04/27/21 Member Experience Surveys (CAHPS ^® and EES): We All Play a Role
04/26/21 Fee Schedule Changes: Procedure Code Additions, Deletions and Revisions, Effective Aug. 1, 2021
04/23/21 Documentation and Coding Series: Major Depressive Disorder
04/22/21 Updated Process for Urine Drug Testing (UDT) Claims for Illinois Medicaid Members
04/21/21 Update: Medicaid Billing Reminders for Home and Community Based Services (HCBS) Waiver Providers
04/08/21 HFS IMPACT File Discrepancies Causing Claim Rejections Has Been Resolved
04/06/21 Free Programs for BCBSIL Member and Non-members at Blue Door Neighborhood Center ^SM
04/02/21 Blood Pressure Control: Speaking Out About the 'Silent Killer'
04/01/21 Medicaid Transportation Alert: Billing Change for Emergency Ground Ambulance Services, Effective April 1, 2021
04/01/21 Help Close the Disparity Gap for Black Women and Breast Cancer
04/01/21 Reminder: Hospital Administrative Days May Be Covered for Medicaid Members
03/31/21 Caring for the Colon
03/31/21 Cervical Cancer Screening May Save a Life
03/30/21 When and How to Use Our Medical Policy Reference List
03/29/21 Applied Behavior Analysis May Be Covered for Some Medicaid Members with Autism Spectrum Disorder
03/26/21 Single Online Access Point for EFT and ERA Enrollments, Effective May 3, 2021
03/23/21 Some Codes Removed from AIM Specialty Health ® (AIM) Prior Authorization
03/18/21 Reminder: eviCore to Manage Commercial Prior Authorization Appeals Process through April 2021 for 2020 Adverse Determinations
03/18/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2021 – Part 2
03/11/21 BCCHP ^SM and MMAI Provider Alert: 2020 Mandatory Annual Training Must Be Completed by May 1, 2021
03/09/21 BCBSIL Providers: Free Vaccine Confidence and Process Improvement Webinars
03/03/21 Specialty Pharmacy Update: Changes to Select Medication List, Effective June 1, 2021
02/25/21 Single Access Point for 835 EFT and ERA Enrollments
02/24/21 Overpayment Recovery for Multiple Surgical Procedures
02/23/21 CPT Category II Codes Can Help Close Care Gaps
02/16/21 Telehealth Services for Our Government Programs Members
02/11/21 Blue Cross Community Health Plans ^SM (BCCHP ^SM ) and Blue Cross Community MMAI (Medicare-Medicaid Plan)^SM Appointment Availability Timeframes
02/09/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2021 – Part 1
02/03/21 DME Benefit Limits Verification Request Form
02/01/21 Free Nutrition Programs Next Month at Blue Door Neighborhood Center ^SM
02/01/21 Medicaid Providers: Updated Prior Authorization Tips and Peer-to-Peer Discussion Process (One Change Effective May 1, 2021)
01/29/21 Documentation and Coding Series: Diabetes Mellitus
01/29/21 Documentation and Coding Series: Atrial Fibrillation
01/28/21 Telehealth Claim Adjustments for Behavioral Health Providers
01/28/21 BCBSIL Medical Record Retrieval Summary
01/27/21 Availity Provider Portal: Multiple Tools, One Location
01/26/21 Utilization Management: New and Updated Resources on Our Provider Website
01/25/21 Medicaid Claim Filing Reminder: Don’t Enter a P.O. Box in Field 33
01/25/21 Medicaid Reminder: Claims with Non-Covered Revenue Codes Will Be Denied
01/15/21 Commercial PPO and BCCHP ^SM Providers: Join Us for An Orientation Webinar
01/11/21 2021 Prior Authorization Requirement Summaries, Code Lists and Related Communications
01/08/21 Free Heart Health Month Programs at Blue Door Neighborhood Center ^SM
01/07/21 2021 CAHPS ^® Survey for Medicaid Members
01/06/21 Reminder: Medicare Providers May Not Bill Members in the Qualified Medicare Beneficiary Program
01/04/21 Updated: Prior Authorizations to Transfer Members to Post-Acute Care Waived Until Feb. 28, 2021
01/04/21 Medicare Adds Benefit for Members with Inherited Ovarian or Breast Cancer