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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 July 26, 2017

Pharmacy Updates Effective October 1, 2017
July 26, 2017 -
Blue Cross NC Partners with Kids in Parks for TRACK Rx Program
July 21, 2017 -
OPANA ER Drug Recall
July 21, 2017 -
Blue Cross NC and Park Ridge Health Pledge to Help Western North Carolina Customers
July 20, 2017 -
Deadline for Diagnostic Imaging Providers
July 13, 2017 -
Risk Adjustment Provider Education - Cardiovascular Conditions
July 10, 2017 -
Mission Health System Cancels Contract with Blue Cross NC
July 5, 2017 -
Risk Adjustment Provider Tools Demonstrations for July
July 3, 2017 -
New Prior Authorization Requirement for New-to-Market Specialty Drugs
June 30, 2017 -
Process Change for Corrected Claim Submissions for Blue Medicare Claims
June 30, 2017 -
Telehealth Services for Blue Cross NC Members
June 29, 2017 -
2017 Blue Cross NC Provider Quality Pocket Guide Available on the Provider Portal
June 27, 2017 -
Register Now for the 2017 Multi-Payer Provider Expo in Asheville
June 23, 2017 -
Thank You for Participating in HEDIS 2017
June 20, 2017 -
New Medical Records Request Process for ER Exempted Services
June 19, 2017 -
Risk Adjustment Provider Education - Diabetes and its Associated Manifestations
June 19, 2017 -
Breast Pump Coverage for Blue Cross NC Members
June 12, 2017 -
Provider Information Verification by Atlas Systems
June 8, 2017 -
Risk Adjustment Provider Tools Demonstrations
June 8, 2017 -
Please Review Your Medicare Advantage Demographic Information
May 30, 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 -

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.