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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 May 26, 2017

New and Revised Policies on Multiple Procedures Effective August 1, 2017
May 26, 2017 -
On June 1, Old Versions of the Provider Enrollment and Demographic Forms Will No Longer Be Accepted
May 23, 2017 -
2017 Medicare Advantage Prospective Risk Adjustment News
May 17, 2017 -
Blue Cross and Blue Shield of North Carolina and Amerigroup Collaboration
May 17, 2017 -
Start Date for Sleep Management Program Temporarily Delayed
May 16, 2017 -
2017 Risk Adjustment Programs at Blue Cross NC
May 11, 2017 -
Reminder for Blue Medicare Providers to Submit Your CLIA Certificate Numbers
May 11, 2017 -
Risk Adjustment Provider Education - Mental and Behavioral Health Disorders
May 11, 2017 -
Opioid Quality of Care Standards
May 10, 2017 -
Risk Adjustment Validation Audit - June 2017 through December 2017
May 3, 2017 -
Blue Cross NC to Retire Level Two Post-Service Provider Appeals
April 27, 2017 -
Register Now for the 2017 Multi-Payer Provider Expo in Winston Salem
April 27, 2017 -
Avalon's Lab Network Updated for May 1, 2017
April 26, 2017 -
Pharmacy Updates - Effective July 1, 2017
April 20, 2017 -
3D Mammography Benefits Expanding for Commercial Members
April 17, 2017 -
Risk Adjustment Documentation and Coding for the Pediatric Patient
April 17, 2017 -
Blue Medicare - A Reminder about Our 6-Tier Formulary
April 11, 2017 -
Blue Medicare Pre-Payment Audit Begins in May
April 10, 2017 -
Provider Portal and Care Management System Upgrades
April 10, 2017 -
Rx Updates on Brand and Generic Benicar Benicar HCT
April 10, 2017 -
Understanding CPT II and ICD-10 Z Codes
April 7, 2017 -
New Sleep Management Program to Begin June 1, 2017
April 6, 2017 -
2017 Medicare Advantage Prospective Risk Adjustment Program
March 29, 2017 -
Dual Eligible Members Exempt from Cost Sharing Amounts
March 28, 2017 -
Out-of-Area Medical Record Retrieval
March 27, 2017 -
LabCorp Joins Avalon's Lab Network
March 24, 2017 -
Risk Adjustment Provider Education
March 22, 2017 -
Hike NC Spring Season 2017
March 20, 2017 -
Reminder: New Medical Oncology Program Begins April 1, 2017
March 20, 2017 -
Avalon Lab Network Update - Important Information
March 17, 2017 -
Blue Cross Wants to Know if Your Practice Provides Lactation Counseling Services
March 15, 2017 -
Medicare Required Outpatient Observation Notice
March 8, 2017 -
Oldest Service Date Becomes the Start Date for Corrected Claims Filing Limit
March 8, 2017 -
Prior Auth Required From OrthoNet for Certain Major Joint and Foot/Lower Extremity Procedures
March 8, 2017 -
Medicare Advantage Providers Are Requested to Review their Demographic Information
March 7, 2017 -
Register Now for the 2017 Multi-Payer Provider Expo in Raleigh
March 3, 2017 -
Medicare Advantage Risk Adjustment Validation Audit in March 2017
March 2, 2017 -
UPDATED: Effective March 1, 2017, BCBSNC Uses Avalon Lab Network with a LabCorp Extension
March 1, 2017 -

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.