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Blue Cross Blue Shield of Texas
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What's New
Availity Batch Reporting Enhancements - June 2008
Organizational
(Type 2) Provider Alert
- May 2008
June 2008-Risk Adjusted Cost Index
NPI-Only - Edit Alerts For Electronic Submitters - May 2008
Provider Payments on Tennessee Medicaid Claims
Taxonomy Code Update
New Chief Medical Officer Announced
If You Bill Medicare, Read This!
Digitek Recall
Zeledyne Claims Processing
Eff 7/01/08 the RQI Program Will No Longer Apply to BlueChoice Solutions Subscribers
State Mandated Autism Benefits
Factor Drug Program
Blue Medicare Private Fee-for-Service
Disclosure Practice

Disclosure Notices

Workshop Schedule

Blue Review
Distribution date of June 09, 2008

Blue Review
Second Quarter - 2008

Blue Review Archives
 
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Electronic Commerce
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    General Reimbursement Information

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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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