Important News

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Colonoscopy Coverage Update
2022-05-26 -
Physicians/Specialists
Facilities/Hospitals
CT Contrast Shortage
2022-05-26 -
Physicians/Specialists
Facilities/Hospitals
Vyvanse added to the Essential Formulary with Prior Authorization and Step Therapy
2022-05-26 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
QPA Rates and Non-Participating Provider COVID Related Services 
2022-05-23 -
Physicians/Specialists
Facilities/Hospitals
Therapy E&M Reimbursement Update
2022-05-23 -
Physicians/Specialists
Facilities/Hospitals
National Drug Codes Required for Select Drugs Effective July 2022
2022-05-23 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
AIM Diagnostic Imaging Physician Recognition Program
2022-05-11 -
Physicians/Specialists
Facilities/Hospitals
Additional Information about Enhanced Clinical Editing Process Implementation
2022-05-09 -
Physicians/Specialists
Facilities/Hospitals
Oncology treatment pathway program IntegratedRx launching for ASO groups effective May 2, 2022
2022-05-04 -
Physicians/Specialists
Facilities/Hospitals
Insourcing non-preferred medical oncology drug clinical reviews from AIM effective June 1, 2022
2022-05-04 -
Physicians/Specialists
Facilities/Hospitals
Blue Cross NC Launching Phase 1 of Behavioral Health Collaborative Care for Health Systems, Provider Groups and Providers
2022-05-02 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy Program Utilization Management Updates Effective July 1, 2022
2022-04-29 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Clinical Criteria Updates for Healthy Blue + MedicareSM (HMO D-SNP)
2022-04-27 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Specialty Pharmacy Precertification List Expansion Effective September 2022
2022-04-27 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
MCG Implementation of Cite for Care Guideline Transparency
2022-04-26 -
Physicians/Specialists
Facilities/Hospitals
Update: Diagnosis Related Group (DRG) Program Review Threshold
2022-04-14 -
Physicians/Specialists
Facilities/Hospitals
Catawba Valley Health Joining Blue Value
2022-04-14 -
Physicians/Specialists
Facilities/Hospitals
Reminder: Annual Provider Training and Attestation Requirements
2022-04-11 -
Physicians/Specialists
Facilities/Hospitals
New Specialty Pharmacy Medical Step Therapy Requirements Effective July 1
2022-04-07 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
New Specialty Pharmacy Medical Step Therapy Requirements Effective March 1
2022-04-07 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
HEDIS 2022: Summary of Changes from NCQA
2022-04-07 -
Physicians/Specialists
Facilities/Hospitals
Reminder about Telehealth Services
2022-04-07 -
Physicians/Specialists
Facilities/Hospitals
Information Related to the No Surprises Act – Qualifying Payment Amount (QPA) and Open Negotiation Period
2022-04-06 -
Physicians/Specialists
Facilities/Hospitals
Update: Delays for Enrolling New Providers
2022-04-05 -
Physicians/Specialists
Facilities/Hospitals
Blue Cross NC Utilization Management Provider Survey
2022-04-01 -
Physicians/Specialists
Facilities/Hospitals
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