Important News

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Forms and Supporting Documentation

2023-06-08 -

FQHC Reimbursement under the North Carolina State Health Plan Federally Qualified Health Center pricing agreement

2023-06-07 -

Blue Cross NC introduces new Autoimmune Pathways Program

2023-06-07 -

Risk Adjustment Data Validation Audit – June 2023 through November 2023

2023-06-07 -

Commercial authorization changes for participating Skilled Nursing Facilities

2023-06-05 -

Blue Cross Blue Shield of North Carolina Reinforcing CLIA Rules Effective 08/01/2023

2023-05-31 -

Corrected Claims Filing Requirements Reminder

2023-05-31 -

Understanding Medicare Advantage Wellness Visits (Healthy Blue + Medicare (HMO D-SNP))

2023-05-30 -

Update: Blue Cross NC Begins 2023 Annual Wellness Visit Campaign

2023-05-30 -

Update: Blue Cross NC Begins Outreach to Individual Providers for Directory Attestations

2023-05-23 -

Enhanced Editing for Durable Medical Equipment (DME)

2023-05-22 -

Blue Medicare authorization changes for North Carolina Critical Access Hospitals

2023-05-17 -

Clinical Criteria Updates (Healthy Blue + Medicare (HMO D-SNP))

2023-05-15 -

Clinical Criteria Updates (Healthy Blue + Medicare (HMO D-SNP))

2023-05-15 -

Update: Provider Webinar: COVID-19 Public Health Emergency (PHE) Expiration Coverage Changes

2023-05-11 -

Blue Cross NC Begins Outreach to Providers for Directory Attestations

2023-05-10 -

Changes to Practitioner Board Certification Requirements

2023-05-08 -

Pharmacy utilization management requirements update effective July 1, 2023

2023-05-03 -

Blue Cross and Blue Shield of North Carolina imaging clinical Site of Care program effective July 1, 2023

2023-05-02 -

MCG Care Guidelines 27th Edition (Healthy Blue + Medicare (HMO D-SNP))

2023-04-28 -

You're Invited: Skilled Nursing Facility (SNF) providers: Fall prevention and patient safety (Healthy Blue + Medicare (HMO D-SNP))

2023-04-28 -

Genetic Testing (Healthy Blue + Medicare (HMO D-SNP))

2023-04-26 -

Diagnosis Related Group (DRG) Program Review Effective Date For Medicare Advantage

2023-04-26 -

Blue Cross NC Provider Feedback Tool

2023-04-26 -

Lower Back Pain Imaging - Policy Update Effective June 18, 2023

2023-04-25 -

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