Disclosure Notices

Blue Cross and Blue Shield of Texas (BCBSTX) uses the BCBSTX provider website to publish disclosure notices. The website allows BCBSTX to disclose changes in a timely and comprehensive manner.

Disclosure notices are posted 90 days in advance of the effective date of the change.

Disclosure notices can include but are not limited to fee schedule updates & reimbursement policies, provider manuals and/or benefit and medical policy changes which may impact claim payments.

If you need assistance accessing this information on the BCBSTX provider website, please contact your local Professional Provider Network or Facility Provider Network office.

2013

Notice	Posted	Effective
Enhancements to ClaimsXten^TM Code Auditing Tool	04/12/13	07/15/13
Enhancements to ClaimsXten^TM Code Auditing Tool	02/04/13	05/05/13
IVIG Drug Program	01/04/13	02/01/13

2012

Notice	Posted	Effective
CPT Code 55250	02/19/13	11/01/12
Billing with National Drug Codes (NDCs)	10/04/12	Delayed until further notice
Modifier Reimbursement Changes	7/30/12	11/01/12
Fee Schedule Update	7/26/12	11/01/12
Billing with National Drug Codes (NDCs)	4/13/12	7/15/12
Code Auditing Update	2/7/12	5/7/12

2011

Notice	Posted	Effective
Professional Fee Schedule Update	6/1/11	9/1/11
Ancillary Fee Schedule Update	6/1/11	9/1/11
Fee Schedule Update (Professional)	5/27/11	9/1/11
Update to Code Auditing Tool Effective 5/2/2011	5/2/11	5/2/11
Fee Schedule Update — Immunizations	3/1/11	6/1/11
New Code Auditing Tool to Help Improve Claim Processing — ClaimsXten	12/14/10	4/18/11
Multiple Surgery Pricing Per Session Methodology — Update	10/27/10	1/31/11
Behavioral Health Program Changes Eff 01/2011	8/23/10	1/1/11

2010

Notice	Posted	Effective
2009 & 2010 Hospital OP Based Compensation Schedule — Non Surgical OTHER Updates	8/15/10	11/15/10
2009 ASC Base Compensation Schedule — Non Surgical OTHER Updates	8/15/10	11/15/10
2009 ASC Base Compensation Schedule — ASC Approved Procedures Updates	8/15/10	11/15/10
2009 ASC Base Compensation Schedule — APC Grouped Procedures Updates	8/15/10	11/15/10
2009 Hospital ASC Approved Procedures Updates	8/15/10	11/15/10
2009 Hospital ASC APC Group Procedures Updates	8/15/10	11/15/10
Code Auditing & Modifier 59 Exempt Auditing	3/16/10	7/26/10
Ancillary Fee Schedule Update	4/1/10	7/1/10
Professional Fee Schedule Update	4/1/10	7/1/10
Multiple Surgery Pricing Per Session Methodology	3/31/10	7/1/10
New Exclusive HMO and Preferred Statewide PPO/POS Clinical Reference Lab Provider Effective June 1, 2010	3/16/10	6/1/10
Change to HMO Blue Texas Outpatient Clinical Reference Lab Services Effective June 1, 2010	2/19/10	6/1/10

2009

Notice	Posted	Effective
Evidence Based Reimbursement	11/15/09	12/15/09
Change to HMO Blue^® Texas Outpatient Clinical Reference Lab Services Effective November 1, 2009	7/14/09	11/1/09
Fee Schedule Update	5/15/09	8/15/09
Are You Billing for Compound Drugs?	5/15/09	8/15/09

2008

Notice	Posted	Effective
CPT Code S9088 — Urgent Care Center Services	11/26/08	3/1/09
Change to the HMO Blue Texas Outpatient Clinical Reference Lab Services	8/22/08	12/1/08

2007

Notice	Posted	Effective
Six Counties Added to AIM's Preauthorization Program	7/30/07	11/1/07
Change to Services Requiring HMO Blue Texas Preauthorization	6/18/07	6/25/07
Milliman Care Guidelines^®	2/6/07	6/25/07