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 PlansSM 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 CenterSM 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- 11/12/21 View Withdrawn Claim Descriptions via the Availity® Claim Status Tool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 ClaimsXtenTM Quarterly Update Reminder
- 10/26/21 Blue Choice Opt PPOSM Network Expanding Throughout Illinois
- 10/25/21 Free Diabetes Awareness Month Programs and More at Blue Door Neighborhood CenterSM
- 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 CenterSM 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 CenterSM 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 ClaimsXtenTM 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 CenterSM 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 BCCHPSM Update for Manually Priced Durable Medical Equipment (DME) Devices
- 07/09/21 New Claim Edits for Blue Cross Community Health PlansSM (BCCHPSM)
- 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 PPOSM Network Expanding to All Illinois Counties
- 06/04/21 Reminder: Hospital 30-day Readmission Review Process for BCCHPSM 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 CenterSM (BDNCSM)
- 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 CenterSM
- 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 BCCHPSM 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 PlansSM (BCCHPSM) 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 CenterSM
- 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 BCCHPSM 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 CenterSM
- 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