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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.

Latest Provider News – Updated February 12, 2016

Blue Medicare: 6-Tier Formulary New for 2016
February 12, 2016 -
Update: BCBSNC Claim Filing Guidelines for CMS X Modifiers
February 11, 2016 -
Risk Adjustment Provider Education Webinars in February
February 10, 2016 -
Blue Value Product Now Available in Hickory Region
February 9, 2016 -
Rx Utilization Management Changes Effective April 1, 2016
February 9, 2016 -
2015 and 2016 SOAP Notes for Medicare Advantage Risk Adjustment
February 8, 2016 -
HEDIS 2016: New Records Request Process
February 8, 2016 -
A Reminder About Our Blue Value and Blue Local Networks
February 5, 2016 -
Quality Star Ratings to Be Posted in Early June to Support Consumer Transparency
February 4, 2016 -
Blue Medicare: Claims Filing Reminder for QW Modifier
February 2, 2016 -
Provider Blue Line Open Saturday, February 6, From 9 a.m. to 1 p.m.
February 2, 2016 -
A New Way of Managing Orthopedic Services for BCBSNC Medicare Advantage Members
January 28, 2016 -
Provider Blue Line Open Saturday, January 30, From 9 a.m. to 1 p.m.
January 28, 2016 -
Additional Methods Available for Managing Patient Care Needs
January 22, 2016 -
Be Sure to Include the Entire Member ID Number on Claims
January 19, 2016 -
What to Do If Your BCBSNC Patient Has Not Yet Received a 2016 ID Card
January 13, 2016 -
Claims and Appeals Inventory Update for 2016
January 12, 2016 -
Reminder Regarding Anesthesia Services for Blue Medicare Members
January 11, 2016 -
New 12-Month Timely Filing Limit for Corrected Claims Effective March 8, 2016
January 8, 2016 -
Risk-Adjustment Provider Education Webinars in January
January 8, 2016 -
Blue Medicare: Accordant Health Services Contract Ends
January 7, 2016 -
Updated Crosswalk of CPT and HCPCS Code Changes for 2016
January 7, 2016 -
Provider Services Closing Early January 5
January 5, 2016 -
2016 Enrollment Delay Impacts Small Percentage of Individual Members
January 4, 2016 -
Medicare Advantage EFT Standard Payment Method
December 30, 2015 -
FEP: Residential Treatment Center Benefit Changes for 2016
December 29, 2015 -
Information About the Opiod Abuse Epidemic
December 29, 2015 -
Part D Prescribers Must Enroll in (or Validly Opt-Out of) Medicare
December 29, 2015 -
Rx Utilization Management Change Effective February 1, 2016
December 29, 2015 -
CMS Announcement About Provider ECP Petition Process
December 22, 2015 -
Potential for Some 2016 Member ID Cards To Be Delayed
December 22, 2015 -
Claims and Appeals Inventory Update as of December 2015
December 18, 2015 -
Blue Medicare: Hepatitis C Screening Guidelines
December 15, 2015 -
Rx Utilization Managemen Changes Effective February 1, 2016
December 15, 2015 -
Individual BCBSNC Membership Will Be on New Technology Platform January 1, 2016
December 9, 2015 -
New HEDIS Measure Tool: Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
December 9, 2015 -
Tell Us About Your Experiences With BCBSNC's Utilization Management and Case Management Processes
December 9, 2015 -
Provider IDs on Blue Medicare Claims Must Agree With Provider Enrollment Data
December 7, 2015 -
Time to Complete and Submit 2015 SOAP Notes for Medicare Advantage Patients
December 7, 2015 -
Risk-Adjustment Provider Education Webinars in December
December 3, 2015 -
One Fax Number for All Blue Medicare Part D Rx Coverage Requests
December 1, 2015 -
Pharmacy Benefit Changes Effective January 1, 2016
December 1, 2015 -
Beginning December 1, Medical Records Can Be Submitted Upfront to Support Medical Necessity
November 30, 2015 -
Update Regarding State Health Plan Duplicate Claim Payments
November 20, 2015 -
New Response Time for Emergency Inpatient Admission Authorizations Effective December 1
November 18, 2015 -
Use CoverMyMeds for Your BCBSNC Blue Medicare Rx Coverage Requests in 2016
November 17, 2015 -
Claims and Appeals Inventory Update for November 2015
November 16, 2015 -

The information provided is only for general provider education purposes and is not a guarantee of payment. Benefits are always subject to terms and limitations of the member's specific plan, so please check the member's eligibility and benefits before rendering services. Please refer to your provider contract with Blue Cross and Blue Shield of North Carolina for specific details, if needed.