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Blue Cross Blue Shield of Texas
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Disclosure Notices
Change to the HMO Blue Texas Outpatient Clinical Reference Lab Services effective December 1, 2008
Quarterly Drug and Home Infusion Updates Effective 12/01/08 have been posted under Reimbursement Schedules as of 8/29/08

What's New
Electronic Payment Summary Technical Difficulties
A Note From BCBS of Tennessee - Nissan North America
Change to the HMO Blue Texas Outpatient Clinical Reference Lab Services effective December 1, 2008
CHIP EPO Letter of Intent Sent to Health Care Providers
Availity Participating Provider Training Webinars - August 2008
Be Smart. Be Well.TM Mental Health Announcement
HCSC to Acquire MEDecision
Availity Batch Reporting Enhancements - June 2008
June 2008-Risk Adjusted Cost Index
Digitek Recall
Factor Drug Program

Workshop Schedule

Blue Review
Distribution date of June 09, 2008

Blue Review
Second Quarter - 2008

Blue Review Archives
   
Electronic Commerce
  		• EDI Transactions
  		• EDI Format Specifications
  		• Electronic Funds Transfer (EFT)/Electronic Remittance Advice (ERA)
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  		• eCare/NDAS Online
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    Provider Library
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    • BlueChoice Solutions
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  		• National Provider Identifier
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  		• Provider Manuals Requires password for access
  		• Reference Guides
  		• Welcome Provider - Online Orientation
    General Reimbursement Information

  • Bundling Information Requires password for access
    • Clear Claim Connection

  • Draft Medical Policies

  • Medical Policies

     
  		• Recoupment/Refund Requires password for access
     
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    Credentialing/
    Contracting
  		• Ten Great Reasons to be Blue
  		• Credentialing
    • Provisional Status - New!
  		• Recredentialing
  		• Consent to Assignment of Provider Contracts (Change of Ownership-CHOW)

    UM/QI/Medical Management

  • Behavioral Health Medical Necessity Criteria

  • iEXCHANGE®
  		• Clinical Practice and Behavioral Health Guidelines
  		• Postpartum Depression - The “Andrea Yates Bill”
  		• Radiology Quality Initiative/Preauth Prgm
  		• Step Therapy Guidelines for City of Houston (COH)
     
  		• Wellness Guidelines
    		 
    Pharmacy
  		• Injectable Drug Program
  		• Preferred Drug Guide
  		• Medicare Part D Updates
  		• Proton Pumps (pdf - 28k)
     
  		• Override Request (pdf - 18k)
  		• Quantity vs. Time
  		• Step Therapy/Prior Authorization
  		• Topical Verapamil
  		• Synagis
  		• Medicine Safety Project

    Provider
    Tools/Programs
  		• Blue Distinction
  		• Hospital Comparison Tools
    • Consumer
    • Professional Requires password for access
  		• Obesity Management Tool Kit Web Site


     
     
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