12/30/2019 Coordinating Care Between Behavioral Health and Medical Providers
12/26/2019 Pharmacist Healthcare Services
12/24/2019 Introducing a New Prior Authorization & Referral Submission Tool via Availity® Provider Portal
12/20/2019 Reminder: Medicare Providers May Not Bill Participants in the Qualified Medicare Beneficiary Program
12/19/2019 Behavioral Health Measures from HEDIS
12/18/2019 National Coordination of CareSM Program for Group Medicare Advantage PPO Members
12/18/2019 2020 Holiday Schedule Reminders (for 835 and 837 transactions)
12/17/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2020 – Part 2
12/16/2019 REMINDER: Medicare Beneficiary Identifier Must be Submitted on Claims
12/16/2019 Eight Steps Toward Health Equity in Diabetes
12/16/2019 Eight Steps Toward Health Equity in Hypertension
12/12/2019 ACO Savings Go Back to Employers and Providers
12/11/2019 Reminder of Change to the Preservice Appeals process for your Blue Cross Medicare Advantage Patients
12/09/2019 Notification of Annual Benefit Updates
11/27/2019 Magellan’s New Webinar Series: HEDIS® Measures and a Focus on Coordination of Care
11/27/2019 Magellan Connection 2019: Partnering with PCPs to Manage Behavioral Health Care Needs
11/26/2019 Blue Cross Medicare Advantage 30 Day Readmission
11/22/2019 Fee Schedule Update March 1, 2020
11/21/2019 Medicare Outpatient Observation Notice Required — Annual Reminder
11/19/2019 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2020 – Part 1
11/15/2019 Provider Manual Updates
11/13/2019 Medicare Advantage: Electronic Payment Summary Now Available for 835 ERA Receivers
11/13/2019 Medicare Advantage Additional Payment for Medication Reconciliation Post Discharge
11/13/2019 Change to Online Enrollment Process for 835 EFT & ERA through Availity®
11/12/2019 Recommendations and Reminders for Eye Care Professionals
11/12/2019 New Programs Help Members Lead Healthier Lives
11/12/2019 Medicare Advantage: Interpreting the ‘PLB’ Segment on the 835 Electronic Remittance Advice (ERA)
11/08/2019 Medicare Advantage: New Claim Status Tool via Availity® Provider Portal
11/08/2019 Important Pre- and Post-Natal Care Information
11/08/2019 Critical Details to Include in Hospital Discharge Summary
11/05/2019 Proper Coding of Adult BMI Assessments
11/04/2019 Be Covered — Increasing Coverage for the Uninsured and Underinsured
11/04/2019 Availity® Remittance Viewer Upgrade
11/01/2019 Behavioral Health Program Changes for AT&T Members, Effective Jan. 1, 2020
10/31/2019 eviCore® Training for Advanced Imaging, Genomic Lab, Joint/Spine/Pain and Sleep Management Services
10/28/2019 Verify Prior Authorization Requirements by Procedure Code via IVR Phone System
10/25/2019 Antibiotic Use in Outpatient Settings
10/25/2019 2020 Blue Cross Medicare Advantage Expansion Service Areas
10/23/2019 New Blue Cross Medicare Group Plan Names and ID Cards
10/21/2019 Health Insurance for American Indians and Alaska Natives
10/21/2019 2020 Blue Cross Medicare AdvantageSM Prior Authorization Updates
10/18/2019 Risk Adjustment IVA Important Information
10/17/2019 Collaborating to Reduce Opioid Abuse
10/16/2019 What You Need to Know About the 2019-2020 Flu Season
10/15/2019 Clinical Payment and Coding Policies — Preventive Services Policy
10/14/2019 Time-Based Measurement Standard to Follow AMA
10/03/2019 Texas House Bill 29 — Referrals for Physical Therapy
10/03/2019 Cotiviti Denial Rationale and Additional Action(s) Now Available in the Claim Research Tool
10/02/2019 Comprehensive Diabetes Care — HEDIS® Tip Sheets
10/02/2019 Breast Cancer Screening — HEDIS® Tip Sheet
09/30/2019 Preventive Services Clinical Payment and Coding Policy Updated
09/28/2019 Review of Implant Claims from Stand-Alone ASCs
09/27/2019 Itemized Bills Required for BlueCard® Claims Over $200k
09/27/2019 Clinical Payment and Coding Policies Updates
09/25/2019 Behavioral Health and Addiction TeleECHO Program
09/25/2019 2020 New Prior Authorization Requirements and Introduction of MyBlue HealthSM
09/23/2019 FEP® Blue Focus Prior Approval Reminder
09/18/2019 Laboratory Benefit Cost-Share Change
08/29/2019 Respond Electronically to Medical Record Requests for Claims
08/28/2019 New Addresses for Submitting Payments for Claim Refund Requests
08/26/2019 Updates to Clinical Practice Guidelines
08/21/2019 Exciting New Functionality to the Claim Research Tool (CRT)
08/21/2019 Celebrate September! More Fruits & Veggies Matters Month
08/21/2019 Well-Child Visits Within the First 15 Months of Life
08/19/2019 MyBlue HealthSM Network Update
08/19/2019 Medicare Advantage Updates to Provider Finder Coming in September 2019
08/09/2019 IVR Phone System Enhancement
08/07/2019 Reminder CMS Requires Insurers to Conduct ACA Risk Adjustment Program Audit
08/05/2019 Reimbursement for Failed Neulasta® Onpro® Devices
07/31/2019 New Clinical Payment and Coding Policy
07/31/2019 Effective Date Postponed for Prior Authorization Changes for H-E-B Partners
07/31/2019 Automated Phone System Offers More Service Options for Medicare Advantage
07/31/2019 Allergy Services
07/30/2019 New Online Case and Credentialing Status Checkers
07/26/2019 Reminder: Verify Procedure Code Prior Authorization Requirements Online
07/26/2019 BCBSTX HEDIS® Tip Sheet — Adult BMI Assessment (ABA)
07/24/2019 Mammography Screening for Early Detection of Breast Cancer
07/24/2019 UT Select Member Prior Authorization Changes Effective 09/01/2019
07/23/2019 Updates to 3 Clinical Payment and Coding Policies
07/22/2019 Notice of Change to Preservice Appeals process for your Blue Cross Medicare AdvantageSM Patients
07/22/2019 Member Letters Have a New Look!
07/19/2019 Removal of Prior Authorization Requirements for Your Medicare Advantage Patients
07/16/2019 Availity® Claim Research Tool Offers Enhanced Claim Status Results
07/12/2019 intelliPathSM Electronic Prior Authorization (ePA) through eviCore®
07/08/2019 eviCore® Prior Authorization Training — Obstetrical Ultrasound
06/27/2019 Update to the Blue Cross Medicare Advantage Prior Authorization List effective 05/01/2019
06/27/2019 Keys to Unlocking a Great Discharge Summary
06/20/2019 Clarification: Updates to Behavioral Health Claim Review Process
06/19/2019 City of Austin Member Prior Authorization Changes
06/14/2019 While ADHD Diagnosis Rises, Treatment Patterns Fall Short
06/12/2019 Quarterly Pharmacy Changes Effective July 1, 2019
06/11/2019 Reporting On-Demand Application Now Available for Medicare Advantage via Availity® Provider Portal
05/29/2019 New BCBSTX Network MyBlue HealthSM
05/29/2019 Changes to Specialty Drugs Prior Authorization List: Always check Prior Authorization Requirements
05/17/2019 In-home Colorectal Cancer Screening Test Provided to Select Members
05/15/2019 Network Participation Page Revisions are here!
05/15/2019 Helping Patients Find Cost-Effective Knee/Hip Replacements
05/15/2019 BCBSTX Now Offers a Choice in Pharmacies for Specialty Medications
05/06/2019 Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
05/01/2019 Revised Clinical Payment and Coding Policies
04/25/2019 Save Time by Using eviCore Web Portal for Prior Authorization Requests
04/22/2019 The New Great Depression
04/18/2019 Making an Impact in Our Community
04/17/2019 Bringing Relief to the Urban Food Desert in the Dallas Area
04/16/2019 Clinical Payment and Coding Policy — Laboratory Panel Billing Guideline
04/08/2019 Blue Cross and Blue Shield of Texas Announces New Partnership with Sanitas
04/05/2019 Check Your Patients' Behavioral Health Prior Authorization Requirements
04/05/2019 Imaging Studies for Low Back Pain
04/05/2019 eviCore® Prior Authorization Training – MSK Services and OB Ultrasound
04/01/2019 eviCore Prior Authorization Requirements
03/29/2019 Revised Change of Ownership-CHOW Form now available
03/29/2019 BCBSTX Plans and Referral Requirements
03/29/2019 Three-Character Prefix on Member ID Cards
03/28/2019 Updates to Clinical Payment and Coding Policies
03/28/2019 New Texas Clinical Payment and Coding Policy — Trauma Activation
03/28/2019 Revised Texas Clinical Payment and Coding Policy — Telemedicine and Telehealth Services
03/26/2019 Living365® Diabetes Classes for Members
03/22/2019 New Clinical Payment and Coding Policy — Multiple Surgery Procedures
03/22/2019 Transferring Hospital DRG Rate Calculation and Discharge Status Code Addition
03/21/2019 Replacement Codes Updated on ERS Specialty Drug List
03/18/2019 Updates to 3 Clinical Payment and Coding Policies
03/18/2019 Provider Onboarding Form User Guide Now Available
03/18/2019 Quarterly Pharmacy Changes Effective April 1, 2019
03/13/2019 Check Eligibility and Benefits: Don't skip this important first step!
03/12/2019 Are You Using Shared Decision-Making Aids?
03/12/2019 Quality Improvement Program Information Available to Providers
03/10/2019 Transferring Hospital DRG Rate Calculation and Discharge Status Code Addition
02/20/19 Billing BCBSTX Members Additional Fees
02/18/2019 Update to Clinical Payment and Coding Policy — Increased Procedural Services (Modifier 22)
02/15/2019 Navigating Provider Finder®
02/15/2019 BCBSTX’s Payer Spaces Updates in Availity® Provider Portal
02/14/2019 Update to Clinical Payment and Coding Policy — Psychological and Neurological Testing
02/12/2019 March is Colorectal Cancer Awareness Month
02/11/2019 TX Government Programs Verifying Claims Status in Availity Update
02/01/2019 Why Doctors Review Health Insurance Claims
01/28/2019 Radiology Quality Initiative (RQI) Program is Business as Usual
01/25/2019 Checking Prior Authorization Requirements by Procedure Code on Availity®
01/22/2019 Reminder for Physicians: Postoperative Care Included in the Global Surgical Reimbursement Rate
01/21/2019 Behavioral Health Care Providers: We Need Your Help to Improve Access to Care!
01/18/2019 Leverage the Availity® Provider Portal for Efficiencies and Cost Savings
01/17/2019 Clinical Payment and Coding Policies — Preventive Services Policy
01/15/2019 Annual Medical Record Data Collection for Quality Reporting Begins Feb. 1, 2019
01/08/2019 Hold Times and Yearly Eligibility Changes
01/04/2019 New Opioid Drug Management Program for Medicare Members
01/02/2019 2019 annual notice to providers of contract application process
01/01/2019 Preventive Care Guidelines Are Available