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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 April 28, 2016

Medicare Advantage Risk Adjustment: May Events for Allscripts and NextGen EHR Users
April 28, 2016 -
Rx Utilization Management Changes Effective July 1, 2016
April 25, 2016 -
Blue Medicare: Diabetic Supplies and Reporting Units for Services
April 22, 2016 -
Risk-Adjustment Provider Education Webinars in April
April 18, 2016 -
Update Regarding Processing of Individual Member Claims
April 15, 2016 -
New Benefits for Adaptive Behavior Treatment of Autism Spectrum Disorder
March 31, 2016 -
OrthoNet to Perform Prior Approval for Blue Medicare Members
March 31, 2016 -
Annual CAHPS Survey: What You Need to Know
March 30, 2016 -
Carteret Health Care and BCBSNC Agree to New Contract
March 30, 2016 -
Blue Medicare: CoverMyMeds Rx Coverage Request Updates Effective April 1
March 29, 2016 -
Blue Medicare: No More Paper Explanation of Payments After April 15
March 29, 2016 -
Providing Services for Medicaid Members With Benefits Administered by Other Blue Plans
March 15, 2016 -
Register Now for the Multi-Expo Provider in Raleigh on April 5
March 15, 2016 -
Risk-Adjustment Provider Education Webinars in March
March 15, 2016 -
Submit Feedback on Patients' Identified Conditions Via ACA Risk-Adjustment Transaction
March 15, 2016 -
BCBSNC Performing Secondary Reviews of Individual and Small Group Claims
March 11, 2016 -
Provider Quality Reports Now Include Number of Care Gaps and Medicare Star Ratings
March 10, 2016 -
Medicare Advantage Providers: Please Review Your Demographic Information With BCBSNC
March 8, 2016 -
Routine Chiropractic Services Not Covered Under Blue Medicare Benefits
March 8, 2016 -
Provider Call Center Resumes Full Service
March 7, 2016 -
Are You Using the Correct Toll-Free Numbers for Blue Medicare Questions?
February 17, 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 -

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.