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Blue Review Archive - Search by Subject

Subject Archive: Claims

The links below take you to the appropriate edition of Blue Review.
We have included a page number to assist you in finding the article.

Article Title Quarter/Year Page
Facility interim Billing 3rd/2008 3
Pass through billing  3rd/2008 12
Reminder - contracted provider must file claims  3rd/2008 12
How to bill when a Member has reached their Benefit Maximum  3rd/2008 15
Assisting during surgery: Who is Eligible to Bill?  3rd/2008 15
90-day retention notice for ERA and EPS electronic files  2nd/2008 14
The Availity health information Network  2nd/2008 3
Additional fees charged by physicians and other professional providers beyond copayment and coinsurance  2nd/2008 14
Reminder to use network facilities and providers  2nd/2008 13
Fee schedule updates  2nd/2008 12
Give your patients our Coordination of Benefits questionnaire  2nd/2008 6
Important Changes to the Radiology Quality Initiative (RQI) Program  2nd/2008 16
iEXCHANGE for precertifications and referrals  2nd/2008 4,5
 Submitting claims for locum tenens  2nd/2008 15
The NPI is here. The NPI is now. Are you using it exclusively?  2nd/2008 15
Member-funded Product added to HCA Portfolio  2nd/2008 20
Blue Precision equals BlueChoice Solutions  2nd/2008 19
BlueChoice Solutions sample ID card  2nd/2008 18
BlueChoice Solutions large employer Groups List  2nd/2008 17
2008 Federal Employee Program benefits highlights  2nd/2008 9,10
ClaimCheck enhancements  2nd/2008 7
Improvements to the Medical Records Process for BlueCard Claims  2nd/2008 15
Requirements for Electronic Claim Submissions 2nd/2008
11
Updated billing procedures for Radiation Treatment Management 2nd/2008
11
Pass through billing 2nd/2008
12
Reminder - contracted providers must file claims 2nd/2008
12
Splitting charges on claims 2nd/2008
14
Fraudulent billing 2nd/2008
14
Professional charges for services performed by a physician in a hospital setting 2nd/2008
15
SNF Billing Requirements for Medicare Advantage plans 2nd/2008
23
Claims Filing deadline changes for HMO Blue Texas 2nd/2008
24
Spinal Decompression traction Therapy 1st/2008
9
Are you billing for LEAP Testing? 1st/2008
10
Pass through billing 1st/2008
11
Treating immediate family members - no claims submitted 1st/2008
11
Reminder - contracted provider must file claims 1st/2008
12
Alpha Prefixes Important When Filing Claims 4th/2007
9
Nonliability and Hold Harmless reminders: Billing for Non-Covered Services 4th/2007
10
Supplemental Classification Codes 3rd/2007
1
Billing for Lupron? 3rd/2007
10
Ways to Reduce Duplicate Denials 3rd/2007
10
Include the Onset/Occurrence Date on Claims 3rd/2007
12
Non-Contracting Provider Claim Payment Process Change 2nd/2007
8
Claim Coding for Co-Surgery and Anterior Approach 2nd/2007
6
Claims Processing Changes 2nd/2007
1
Revised CMS-1500 (08/05) and New UB-04 Claims Forms 1st/2007
2
Multiple Birth Guidelines 1st/2007
9
Important Information Related to Claim Submissions 1st/2007
10
Solicited Medical Records 4th/2006
12
NUBC Announces Approval of UB-04 3rd/2006
2
Medical Policy Review 3rd/2006
4
Attention Paper Claims Submitters: CMS-1500 Form Update 3rd/2006
5
Blue Medicare PPO Claims Submission Information 3rd/2006
11
Medical Policy Review 2nd/2006
5
NUBC Announces Approval of UB-04 2nd/2006
5
How to Avoid Claims Problems 2nd/2006
8
HMO Blue Texas Claims Processing System 2nd/2006
16
Instructions for Filing Corrected Claims 1st/2006
13
Expedite Processing of Power-Operated Wheelchair Claims 1st/2006
13
Locate Claims Easily with These Automated Phone System Tips 4th/2005
15
Working Together to Halt Health Care Fraud 3rd/2005
1
Anesthesia Payment and Billing Information 3rd/2005
1
Professional Claims Processing Enhancements Update 3rd/2005
2
Benefit Reminder for Orthotic and Prosthetic Services 3rd/2005
5
Include Billing Provider number to Expedite Claims 3rd/2005
5
Crossover Process Saves Time and Money Medicare Part B: Submit Supplemental Claims Electronically 3rd/2005
6
HMO Blue Texas Claims Filing/Payment 3rd/2005
8
Physician Organization Code/IPA Chart 3rd/2005
8
Bundling Logic Disclosure Statement 3rd/2005
9
Claims Mailing Addresses and Phone Numbers 3rd/2005
9
Don't Let Unlisted CPT Codes Slow You Down 2nd/2005
2
General Reimbursement Information Posted Online 2nd/2005
2
Getting the Right Payments to the Right Place 2nd/2005
6
Professional Claims Processing Enhancements 2nd/2005
9
Duplicate Claims Mean Double Trouble 2nd/2005
10
Enhance Cash Flow and Reconcile Payments Faster 2nd/2005
10
Unspecified Drug Claim Filing Requirements 1st/2005
3
KR Modifier Required for DME 1st/2005
3
Claims Appeal/Reconsideration Process 1st/2005
4
Submitting Blue Shield (Professional) Secondary Claims Electronically 1st/2005
5
How to Bill for Supplies 1st/2005
6
Processing Invalid Deleted Codes 1st/2005
6
Professional Claims Processing Enhancements Update 1st/2005
8
Interim Claims Reminder 1st/2005
9
HMO Blue Texas Claims Filing/Payment 1st/2005
14
Physician Organization Code/IPA Chart 1st/2005
14
Claims Mailing Addresses and Phone Numbers  1st/2005
15
Changes Announced in Anesthesia Fee Maximum Special Ed 2004
1
Time & Points Payment Methodology: Eligible Anesthesia Procedures Defined Special Ed 2004
1
Anesthesia Services Special Ed 2004
2
Modifiers to be Billed by the Anesthesiologist Special Ed 2004
2
Modifiers to be Billed by a CRNA Only Special Ed 2004
2
Physical Status Modifiers (to be billed by Anesthesiologists and CRNAs) Special Ed 2004
2
Qualifying Circumstances (to be billed by Anesthesiologists and CRNAs with units of one (1) only) Special Ed 2004
2
Surgical Codes 62310, 62311, 62318 and 62319A Special Ed 2004
2
Anesthesia Modifier Payment Changes Special Ed 2004
2
OB Time & Points Reimbursement Special Ed 2004
2
Reimbursement of OB Anesthesia Add-on Codes 01968 and 01969 Special Ed 2004
3
Ventilator Management in Conjunction with Anesthesia Services (94656 and 94657) Special Ed 2004
3
Daily Hospital Management of Epidural or Subarachnoid Continuous Drug Administration 01996 Special Ed 2004
3
Professional Claims Processing Enhancements Update 4th/2004
4
Is Your Claim Being Unnecessarily Delayed? 4th/2004
6
Proof of Timely Filing 4th/2004
6
Crossover Process Saves Time and Money Medicare Part B: Submit Supplemental Claims Electronically 4th/2004
7
Expecting Some Important Checks In the Mail? 4th/2004
8
The Federal Employee Program, FDA Approval and Medical Necessity 4th/2004
8
How to Expedite Your UB92 Electronic Facility Claims 4th/2004
9
Electronic Submission of Texas Blue Shield (Professional) Secondary Claims 4th/2004
10
Daily Electronic Fund Transfers now Available to More Providers 3rd/2004
1
Facilities Billing Surgical Claims 3rd/2004
2
Senate Bill 418 Addressing Duplicate Claims 3rd/2004
2
Change in Claims Filing for Cesarean Sections 3rd/2004
3
Professional Claims Processing Enhancements Update 3rd/2004
4
Texas Medicare Crossover Issue 3rd/2004
6
Electronic Submission of Texas Blue Shield (Professional) Secondary Claims 3rd/2004
11
Claim Submission Information Posted Online - Avoid Delays with Proper Submissions 3rd/2004
12
BCBSTX Implements New Radiology Quality Initiative 3rd/2004
14
Electronic Remittance Advice (ERA) Codes are Necessary 2nd/2004
1
New Provider Enrollment Process Streamlined 2nd/2004
1
Numbers Required for Filing Electronically 2nd/2004
3
Professional Claims Processing Enhancements Update 2nd/2004
4
Notice to Providers of Sanderson Farms Employees 2nd/2004
5
Are Your Facility Claims Denying As Duplicates? 2nd/2004
7
Daily Electronic Fund Transfers Offered 2nd/2004
7
Senate Bill Addressing Duplicate Claims 1st/2004
1
New Procedures for Not-Otherwise-Classified Drug Codes 1st/2004
2
Professional Claims Processing Enhancements Update 1st/2004
4
Claim Appeal/reconsideration Review Process 1st/2004
5
CMS 1500 form 1st/2004
6
2003 Physician Workshop Questions & Answers - Appeal/Reconsideration 1st/2004
8
2003 Physician Workshop Questions & Answers - THIN 1st/2004
8
2003 Physician Workshop Questions & Answers - Medical/Utilization Management 1st/2004
8
2003 Physician Workshop Questions & Answers - Claims 1st/2004
8
2003 Physician Workshop Questions & Answers - BlueCard 1st/2004
8
2003 Physician Workshop Questions & Answers - Legislative Updates 1st/2004
9
Facilities Billing Surgical Claims 1st/2004
9
HMO Announces Hearing Aid Fee Schedule Change 1st/2004
12
Institutional Providers Can Now File Late Charges and Corrected Claims Electronically 4th/2003
1
Taxonomy Code Requirements for Electronic Claims 4th/2003
1
Modifier 76 - Repeat Procedure by the Same Surgeon 4th/2003
2
Procedure 90472 4th/2003
2
Electronic Claims Can Pay Off for You 4th/2003
2
Professional Claims Processing Enhancements Update 4th/2003
4
No More Exceptions to BlueCard Claims Filing Process 4th/2003
6
New Prompt Pay Legislation Adopted 4th/2003
6
Chiropractic Coverage Update 4th/2003
9
Claims Appeal/Reconsideration Process 4th/2003
9
Claims Payment - Avoid Delays with Proper Submissions 4th/2003
10
Physician Organization Code/IPA Chart 4th/2003
10
Claims Mailing Addresses and Phone Numbers 4th/2003
11
Clarification on Prompt Pay Information - Clean Claim Attachment Guidelines 3rd/2003
2
Fee Schedule Update 3rd/2003
4
Electronic Funds Transfer Expedites Payment 3rd/2003
5
Adding Documentation to Electronic Claims - Mail or Fax Enables Providers to Submit 100% Claims Electronically 3rd/2003
6
Vision Benefits to Pay as Medical Services 3rd/2003
7
Providers Can Now File Late Charges and Corrected Claims Electronically 3rd/2003
8
HMO Blue Texas Change to Independent Laboratory Provider Network 3rd/2003
9
Claims Payment - Avoid Delays with Proper Submissions 3rd/2003
10
Physician Organization Code/IPA Chart 3rd/2003
10
Claims Mailing Addresses and Phone Numbers 3rd/2003
11
Changes in Assistant Surgeon Edits - PPO and POS Only 3rd/2003
14
Important Prompt Pay Information - Clean Claim Attachment Guidelines 2nd/2003
1
Claim Reconsideration Review Form Online 2nd/2003
1
Electronic Funds Transfer Expedites Payment 2nd/2003
2
Physician Workshop Follow-Up - Answers to Frequently Asked Questions - Claim Filing Information 2nd/2003
4
Physician Workshop Follow-Up - Answers to Frequently Asked Questions - Reconsideration/Review 2nd/2003
4
Physician Workshop Follow-Up - Answers to Frequently Asked Questions - BlueCard 2nd/2003
4
Change to Chiropractic Coverage (See update to this article in 4th Q 03) 2nd/2003
7
Claims Payment - Avoid Delays with Proper Submissions 2nd/2003
12
Physician Organization Code/IPA Chart 2nd/2003
13
Claims Mailing Addresses and Phone Numbers  2nd/2003
13
Private vs. Semi-Private Rooms 1st/2003
2
Adding Documentation to Electronic Claims - Mail or Fax Enables Providers to Submit 100% Claims Electronically 1st/2003
4
Professional Claims Processing Enhancements 1st/2003
5
Federal Employee Program Provides Experimental and Investigational Coverage 1st/2003
6
Electronic Funds Transfer Expedites Payment to Office or Hospital 1st/2003
8
Clean Claims - Submission of Legible HCFA-1500 and UB-92 Claims Required 1st/2003
9
Billing for ER Services:Denied Hospital Admission 1st/2003
11
Claims Payment - Avoid Delays with Proper Submissions 1st/2003
12
Physician Organization Code/IPA Chart 1st/2003
12
Behavioral Health Claims - HMO Blue Claims Address 1st/2003
13
Claims Mailing Addresses and Phone Numbers 1st/2003
13
Blue Cross and Blue Shield of Texas Listens! 4th/2002
1
Claims Payment - Avoid Delays with Proper Submissions 4th/2002
10
Physician Organization Code/IPA Chart 4th/2002
10
Claims Mailing Addresses and Phone Numbers 4th/2002
11
HMO Multiple Surgery Pricing Guidelines 4th/2002
12
First Obstetric Visit 4th/2002
15
Submitting Clean Claims for Prompt Payment Special Ed/2002
2
Common Error Fields Special Ed/2002
3
HCFA 1500 Clean Claim Fields Special Ed/2002
4
UB92 Clean Claim Fields Special Ed/2002
6
Claim Reconsideration Special Ed/2002
8
Duplicate Claims are Costly Special Ed/2002
9
BCBS and Claims Billing Services Special Ed/2002
9
Managing Your Claims and Other Important Transactions 3rd/2002
1
Proof of Timely Filing 3rd/2002
4
Physician Organization Code/IPA Chart 3rd/2002
9
Claims Payment - Avoid Delays with Proper Submissions 3rd/2002
9
Claims Mailing Addresses and Phone Numbers  3rd/2002
10
Referrals, for Physical Therapy 3rd/2002
11
Update: Modifiers When Billing for Pas, ANPs and CRNFAs 2nd/2002
1
Blue Cross and Blue Shield of Texas Listens! 2nd/2002
1
BCBSTX Clarifies Riders on Individual Policies 2nd/2002
3
Growth Hormone and Intravenous Immunoglobulin Forms on Web site 2nd/2002
4
BCBSTX and HMO Blue Texas Clean Claim Attachment Guidelines 2nd/2002
5
A Recoupment Reminder 2nd/2002
8
Claims Payment - Avoid Delays with Proper Submissions 2nd/2002
11
Duplicate Claims Mean Double Trouble 1st/2002
1
Claims Payment - Avoid Delays with Proper Submissions 1st/2002
8

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