Medical News and Information

Important News

We have collected and categorized the most recent policy updates, product updates, and company information that may be useful to you.

New Specialty Pharmacy Medical Step Therapy Requirements Effective March 1
2022-04-07 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Information Related to the No Surprises Act – Qualifying Payment Amount (QPA) and Open Negotiation Period
2022-04-06 -
Physicians/Specialists
Facilities/Hospitals
Blue Cross NC Utilization Management Provider Survey
2022-04-01 -
Physicians/Specialists
Facilities/Hospitals
Reminder: Benefit Verification and Away from Home Care
2022-04-01 -
Physicians/Specialists
Facilities/Hospitals
Enhancement to Current Claims Processing System Beginning June 1, 2022
2022-03-29 -
Physicians/Specialists
Facilities/Hospitals
Delayed: Plan Transition for City of New York Retirees
2022-03-29 -
Physicians/Specialists
Facilities/Hospitals
Blue Cross NC Extends Telehealth Policy Through September 2022
2022-03-10 -
Physicians/Specialists
Facilities/Hospitals
Specialty Pharmacy Precertification List Expansion
2022-03-09 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Additional Information: Discontinuance of Blue Value for Individual U65 Members in Select Areas
2022-03-08 -
Physicians/Specialists
Facilities/Hospitals
Update: Colorectal Cancer Screening Coverage
2022-03-07 -
Physicians/Specialists
Facilities/Hospitals
Benlysta Transition to Self-Administered Formulation
2022-03-07 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
The Impact of Listening
2022-03-07 -
Physicians/Specialists
Facilities/Hospitals
Speech Therapy Claims Issue
2022-03-04 -
Physicians/Specialists
Facilities/Hospitals
Coding and Documentation Guidelines for Deep Vein Thrombosis & Pulmonary Embolism 
2022-03-02 -
Physicians/Specialists
Facilities/Hospitals
Blue Card Change to Out of Network
2022-02-23 -
Physicians/Specialists
Facilities/Hospitals
Reminder Regarding Present on Admission Indicator
2022-02-23 -
Physicians/Specialists
Facilities/Hospitals
Healthy Blue + MedicareSM (HMO D-SNP) - November 2021 Medical Policies and Utilization Management Guidelines Update
2022-02-23 -
Physicians/Specialists
Facilities/Hospitals
Medicare Part B Precert Expansion November P&T - Effective June 1, 2022
2022-02-18 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Update: Maternity Health Episode-Based Payments Program
2022-02-17 -
Physicians/Specialists
Facilities/Hospitals
Ancillary
Pharmacy
Exploring Implicit Bias in Healthcare for Historically Marginalized Communities
2022-02-16 -
Physicians/Specialists
Facilities/Hospitals
No Surprises Act (Surprise Billing) and Impact to Claims
2022-02-14 -
Physicians/Specialists
Facilities/Hospitals
Update: Vyvanse Formulary Update Effective January 1, 2022
2022-02-14 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Clinical Criteria Updates for Healthy Blue + MedicareSM (HMO D-SNP)
2022-02-02 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy Program Utilization Management Updates Effective April 1, 2022
2022-01-27 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Status Codes Reimbursement Policy Update – Codes 99050 and 99051
2022-01-21 -
Physicians/Specialists
Facilities/Hospitals
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