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Important News

We have collected and categorized the most recent policy updates, product updates, and company information that may be useful to you.
Please visit the sections below to view the article listings for each section.

Latest Provider News – Updated October 20, 2009

October 20, 2009
Medicare Supplement EFT to resume
October 19, 2009
IDTF's Require Prior Approval
October 1, 2009
2009 HII Workshops - See BCBSNC's presentation
October 1, 2009
2010 Medicare Formulary Changes
September 18, 2009
Proton Pump Inhibitors (PPI) Update
September 11, 2009
New Member Liability Collection Policy for Blue OptionsSM Deductible and Coinsurance-Only Products - Beginning October 1, 2009
September 1, 2009
Controlling Costs
September 1, 2009
December 1, 2009 - BCBSNC to require Present on Admission indicators
September 1, 2009
Effective October 1, 2009, Symponi Will Require Prior Review
September 1, 2009
Effective October 1, 2009, Change in Intranasal Steroids, Oral Bisphosphonates and Proton Pump Inhibitor Coverage
August 28, 2009
Announcement to providers having a 2008 based fee schedule Network Participation Agreement
August 15, 2009
Reminder: CPT Codes 95115 and 95117 - One (1) unit only, when billing for one or more injections given on the same day
July 30, 2009
Medication Dedication
July 15, 2009
Important Reminders about Corrected Claims
July 1, 2009
2009 Spring Provider Conferences
July 1, 2009
CPT and HCPCS Code Requirements for UB-04
June 29, 2009
New Pre-Existing Condition Medical Information Request Form
June 29, 2009
Reminder: Coverage of Investigational and Cosmetic Services
June 5, 2009
5010 Communications - Q & A
April 24, 2009
Three Drugs added to Prior Review list as of July 1
April 20, 2009
Information about Your Fee Schedule
April 8, 2009
Discontinuation of Paper Remittances (NOPs/EOPs)
November 7, 2008
Important changes concerning replacement of current ICD-9 diagnosis codes with ICD-10 codes
October 13, 2008
Provider Level 1 Appeals Timeframe
August 01, 2008
IPP Moves to the Power MHS Claims System
July 01, 2008
Change in Proton Pump Inhibitors (PPI) Coverage
July 01, 2008
NC Smart Choice
July 01, 2008
New Prior Review Medications
July 01, 2008
Mental Health Parity
June 23, 2008
BCBSNC Spring Provider Conferences - 2008
May 01, 2008
EOP Enhancement
January 16, 2008
BlueCard Move to Automatic Crossover for All Medicare Claims
January 01, 2008
Introducing Blue Medicare HMO and Blue Medicare PPO - Find out what you need to know!
November 30, 2007
2007 HII Workshops - See BCBSNC's presentation
September 24, 2007
BCBSNC Summer Provider Conferences – 2007
August 20, 2007
More Improvements to Our Automated Phone System!
April 30, 2007
Notice: BCBSNC is Extending the Acceptance Period of the CMS-1500 (12-90) version claim form
April 2, 2007
BCBSNC Ends Kidney Disease Program
March 12, 2007
Attention Rural Health Clinics: Important Notice About Medicare Crossover Claims
January 8, 2007
Updated Federal Employee Program (FEP) Voucher Deduction Process
January 8, 2007
Federal Employee Program Adding Magellan Health Services as Vendor
January 8, 2007
Blue Cross and Blue Shield of North Carolina Remains Committed to Excellent Health Care Quality
December 11, 2006
Revised Blue Cross and Blue Shield of North Carolina ("BCBSNC") Pricing Policy for Procedure/Service
Codes ("Pricing Policy") effective January 1, 2007.
November 20, 2006
Diagnostic Imaging Management Program begins in 1st Quarter 2007
November 20, 2006
BCBSNC to Adopt the New UB04 Claim Form
November 13, 2006
FEP Venipuncture Charges
October 2, 2006
New Information about State Members Enrolled in Blue Options PPO
September 25, 2006
BCBSNC to Adopt the New CMS-1500 Claim Form – Version 08/05
September 25, 2006
Provider Resolution Form: New Form – New Address
September 25, 2006
New Form for Provider-Initiated Refunds for Out-of-Area Members
September 11, 2006
BCBSNC to Provide Flu Vaccine
July 5, 2006
State Health Plan Offers New PPO Products to Employees
July 5, 2006
Medicare Claims Adjustments
July 5, 2006
Policy Change for CPT Code 99051
July 5, 2006
BlueCard Fund Distribution Program Launched in July
June 1, 2006
Specialty Pharmacy Update
May 15, 2006
Outpatient UB92 Claims Filing Update
February 16, 2006
Explanation of Usual, Customary and Reasonable reimbursement methodology
October 05, 2005
EDI Services Provider Workshops This October!
August 24, 2005
Inquires and Appeals Updates & Reminders
August 17, 2005
Changes to your BCBSNC Explanation of Payment (EOP)
July 20, 2005
Correct your Professional (837) Claims Electronically
July 20, 2005
Use Blue e for Review of Admission/Treatment Notifications
July 20, 2005
Blue e Medicaid Eligibility Modifications to Change after August 14
March 2, 2005
Credentialing for Registered Dieticians
February 9, 2005
Claims for anesthesia must be filed with nationally recognized code set
February 9, 2005
Changes to prior approval and inpatient admission certification requirements
February 9, 2005
Enhancement of claim submission and reimbursement policy disclosure
February 9, 2005
Revision to multiple surgical procedure guidelines
February 9, 2005
Update: Coordination of benefits claims submission and processing requirements
February 9, 2005
Coordination of benefits policy for group claims: spouses and dependent children
February 9, 2005
Protecting BCBSNC member Social Security numbers
February 9, 2005
Submitting HIPAA Compliant Claims
December 15, 2004
Becoming a Medicaid Provider
October 1, 2004
BCBSNC and North Carolina General Statute (NCGS) §58-3-227 UPDATED INFORMATION!
September 1, 2004
SSN ID Replacement Project Q&A for Providers
May 12, 2004
Share your thoughts in provider survey for your chance to win
March 13, 2004
Changes to your BCBSNC Notification of Payment (NOP) and Explanation of Payment (EOP)
March 3, 2004
Drug Prior Approval and Quantity Limitations Now Include PPO and POS
February 25, 2004
BCBSNC and North Carolina General Statute (NCGS) 58–3–227 (House Bill 1066)