09/28/2023 CPCP028 Non-Reimbursable, Experimental, Investigational and/or Unproven Services Update 10/01/2023
09/28/2023 Overcoming Barriers to Colorectal Cancer Screenings
09/28/2023 Survey Assesses Medicare Advantage Members’ Health Outcomes
09/28/2023 CPCP006 Preventive Services Policy Update Effective October 1, 2023
09/28/2023 Supporting Quality Care During Breast Cancer Awareness Month
09/20/2023 MyBlue HealthSM Network Expansion
09/07/2023 New Location in Availity® to Access Prior Authorization Exemption Communications as of Sept.7, 2023
09/07/2023 Update: Ground and Air Ambulance Overpayment Error
09/05/2023 ClaimsXten™ Quarterly Update Effective Dec. 4, 2023
09/01/2023 Notifications for Prior Authorization Exemptions for Jan. 1 to June 30, 2023 Review Period
08/31/2023 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 12/01/2023
08/29/2023 Updates to Clinical Practice and Preventive Care Guidelines
08/23/2023 BlueCard® Program Reminder
08/21/2023 Physician Performance Insight Reports are Now Available!
08/17/2023 Removal of Select Medication List
08/15/2023 Reimbursement Change for Inpatient DRG Claims When Patients Are Transferred Early
08/11/2023 Submitting Claims for Infertility Services
08/08/2023 Reminder - Notice of Prior Authorization Exemptions Rescission
08/03/2023 See New Enhancements for Behavioral Health Prior Authorizations
08/02/2023 Shared Decision-Making Aids Can Help Guide Care Choices
07/31/2023 Future Blue Cross Blue Shield Association Provider Performance Program
07/31/2023 Pharmacy Program Quarterly Update, Part 1, Changes Effective October 1, 2023
07/28/2023 Reporting On-Demand via Availity® Essentials is Now Named Provider Claim Summary
07/24/2023 Update to Prior Authorization Codes for Medicare Members, Effective Oct. 1, 2023
07/24/2023 Claim Editing Changes for Emergency Department Services Coming Nov. 1, 2023
07/21/2023 Designating Prior Authorization Requests as “Urgent”
07/21/2023 Reminder – Physician Performance Insight (PPI) Reports are Coming Soon!
07/20/223 Free Tools & Resources Available via Availity® Essentials
07/19/2023 Colorectal Cancer Screening Options and Statistics: Get the Conversation Started Today
07/18/2023 Reminder: Prior Authorization Exemption Communication Method Preference
07/18/2023 Introducing Smart RxAssist via HealthSmartRx®
07/17/2023 2022 Excutive Summary and 2023 Goals
07/17/2023 CPCP031 Trauma Activation - Facility Services Updated Effective 10/18/2023
07/11/2023 Provider Depression Disorder Prescribing
07/10/2023 Update to Prior Authorization Codes for Commercial Members, Effective Oct. 1, 2023
07/07/2023 Pharmacy Program Quarterly Update, Part 2, Changes Effective July 1, 2023
07/06/2023 Webinar on Coding for Morbid and Severe Obesity
07/05/2023 In-Home Test Kits for Colorectal Cancer Screening
06/30/2023 Antidepressant Medical Management
06/30/2023 CPCP014 Global Surgical Package – Professional Providers Updated Effective 10/01/2023
06/29/2023 Update to Prior Authorization Exemption Clinical Guidelines
06/29/2023 Reminder - Notice of Prior Authorization Exemptions Renewal Review
06/29/2023 CPCP006 Preventive Services Policy Updated Effective 07/01/2023
06/27/2023 CPCP021 Laboratory Panel Billing Updated Effective 09/28/2023
06/22/2023 Physician Performance Insight (PPI) Reports - Coming Soon!
06/14/2023 Medicare Advantage Annual Wellness Visits: Webinar and Resources
06/13/2023 More Access for Medicare Patients and Providers
06/07/2023 New Availity® Eligibility & Benefits Experience
06/06/2023 Provider Rights and Responsibilities
06/06/2023 Member Rights and Responsibilities
06/06/2023 New Clinical Payment and Coding Policy CPCP041 Sepsis Policy Effective 09/06/2023
06/05/2023 Catch Up on Routine Vaccines and Well-Child Visits
06/02/2023 ClaimsXtenTM Announces Software Version Upgrade
06/01/2023 Additional Changes to Prior Authorization Codes for Commercial Members, Effective July 1
06/01/2023 CPCP011 Applied Behavioral Analysis Updated Effective 09/01/2023
05/31/2023 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 09/01/2023
05/31/2023 CPCP001 Observation Services Policy Updated Effective 09/01/2023
05/30/2023 Notice of Prior Authorization Exemptions Renewal Review
05/25/2023 Additional Changes to Prior Authorization Codes for Medicare Members, Effective July 1, 2023
05/22/2023 Earn Continuing Education Credit: Webinar on Avoiding Inappropriate Antibiotic Use
05/17/2023 Annual Review: CPCP026 Therapeutic Prophylactic Diagnostic Injection Infusion
05/17/2023 CPCP0012 Hernia Repair Updated Effective 08/18/2023
05/16/2023 The Need for Better, Improved Continuity and Coordination of Care
05/15/2023 Medical Policy Updates
05/15/2023 CPCP0013 Increased Procedural Services (Modifier 22) Effective 08/15/2023
05/15/2023 CPCP034 Unbundling Policy – Professional Providers Effective 08/15/2023
05/10/2023 Medical Records Reminder for Out-of-Area Medicare Advantage Members
05/10/2023 ClaimsXten™ Quarterly Update Effective August 21, 2023
05/09/2023 Language Line Supporting Cultural Competence
05/09/2023 Colon Cancer Screenings Goal: 80% In Every Community
05/04/2023 Medicare Advantage Annual Wellness Visit: Webinar and Resources
05/04/2023 Update to Prior Authorization Codes for Medicare Members, Effective July 1, 2023
05/02/2023 Helping Our Members Manage Diabetes
04/28/2023 Pharmacy Program Quarterly Update, Part 1, Changes
Effective July 1, 2023
04/17/2023 How to Correctly Use Our Claim Review Form
04/13/2023 Webinar on Coding for Chronic Kidney Disease
04/12/2023 Behavioral Health Consultations During Hospitalization Can Improve Outcomes
04/11/2023 Ground and Air Ambulance Overpayment Error
04/06/2023 Pharmacy Program Quarterly Update, Part 2, Changes Effective April 1, 2023
04/04/2023 Track Care Visits During and After Pregnancy
04/03/2023 Update to Prior Authorization Codes for Commercial Members, Effective July 1, 2023
03/31/2023 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 07/01/2023
03/28/2023 CPCP006 Preventive Services Policy Update Effective April 1, 2023
03/24/2023 Update to CPCP010 Anesthesia Services Effective 06/26/2023
03/24/2023 Annual Review: CPCP020 Drug Testing Clinical Payment and Coding Policy Effective 03/27/2023
03/24/2023 New CPCP040 Physical Medicine and Rehabilitation Services Effective 06/26/2023
03/24/2023 Update to CPCP016 Chiropractic Care Services Effective 06/26/2023
03/24/2023 Update to CPCP023 Modifier Reference Effective 06/26/2023
03/24/2023 CPCP007 Implant Payment and Coding Policy Retired 03/31/2023
03/15/2023 Changes to CPCP027 Inpatient Readmissions Policy Effective 07/01/2023
03/13/2023 Screening and Follow-Up Care for Maternal and Mental Health
03/13/2023 Caring for Substance Use Disorders
03/13/2023 Monitoring Children Using ADHD Medications
03/10/2023 AIM Specialty Health Changes Its Name to Carelon Effective March 1, 2023
03/09/2023 Medicare Advantage Annual Health Assessment Incentive FAQs – 2023
03/09/2023 Notifications for Prior Authorization Exemptions for July 1 to Dec. 31, 2022 Review Period
03/08/2023 Annual Review: TXCPCP003 Surgical and Non-Surgical Services Policy Update Effective March 9, 2023
03/07/2023 Earn Continuing Education Credit through Webinar on Opioids
03/07/2023 Earn Continuing Education Credit through Webinar on Maternal Mental Health
02/28/2023 CPCP006 Preventive Services Policy Update Effective March 1, 2023
02/27/2023 Pharmacy Program Quarterly Update, Part 2:
Changes Effective Jan. 1, 2023
02/21/2023 New for 2023: Specialty Pharmacies Added In-Network
02/16/2023 CPCP022 Pneumatic Compression Devices – Outpatient Use Update – Effective 05/17/2023
02/16/2023 Help Close Gaps in Care for Group Medicare Advantage Members
02/15/2023 CPCP017 Wasted/Discarded Drugs and Biologicals Policy – Effective 05/16/2023
02/14/2023 Pharmacy Program Updates: Quarterly Changes Effective April 1, 2023- Part 1
02/10/2023 Verify Your Directory Details Every 90 Days
02/09/2023 New Support Program for Members with Kidney Disease
02/08/2023 Survey to Assess Medicare Advantage Members’ Experiences
02/03/2023 Closing Gaps in Colon Care
02/03/2023 Earn Continuing Education Credit through Webinar on Bipolar Disorder
02/02/2023 Quality Care: Screening for Depression
02/02/2023 Cultural Awareness Webinars: Earn Continuing Education Credit
01/30/2023 Prior Authorization Exemption Communication Method Preference
01/30/2023 Update to Prior Authorization Codes for Medicare Members, Effective April 1, 2023
01/20/2023 How to Identify UT CARETM Members
01/17/2023 Correction - Prior Authorization Codes for Commercial Members Updated Effective April 1, 2023
01/09/2023 2022 Annual HEDIS®/QRS Reports
01/06/2023 Predetermination is Changing to Recommended Clinical Review
01/06/2023 Supporting Heart Health Equity
01/04/2023 Annual Review: CPCP0019 Home Infusion Update Effective 01/05/2023
01/03/2023 ClaimsXten™ Quarterly Update Effective April 17, 2023