We provide training opportunities at no charge – including webinars that offer continuing education credit – to doctors and other health care professionals in the Blue Cross and Blue Shield of Texas (BCBSTX) network.
Availity® Essentials and Online Resources BlueApprovRSM Trainings
Join us for instructor-led webinar sessions on various Availity Essentials resources to learn about the below topics:
- BlueApprovR via single sign-on access from Availity to submit inpatient and/or outpatient prior authorization and recommended clinical review (RCR) for medical/surgical, specialty pharmacy drugs, and behavioral health services for many BCBSTX commercial members.
- Claim Status, Clinical Appeals, Reconsiderations and Message This Payer
- Instructor-Led Training
- Remittance Viewer and Provider Claim Summary
- Prior Authorizations, Referrals, & Recommended Clinical Review Tools
- Recommended Clinical Review Process
Behavioral Health — Free CME/CEU Webinars
Refer to Behavioral Health Webinars - Earn Continuing Education Credit
BlueCompare for Hospitals
BlueCompare is a component of the online Provider Finder® tool that adds cost and quality-related performance information on medical/surgical general acute-care hospitals in the PPO networks. Learn More
Carelon ProviderPortal Training for Prior Authorizations
Refer to the Carelon On-demand Training page for upcoming Provider Portal available on the following services that may require prior authorization through Carelon:
- Advanced Imaging & Cardiology
- Genetic Testing
- Joint/Spine Surgery & Pain Management
- Medical Oncology
- Radiation Therapy
- Sleep Medicine
For more information on Carelon prior authorizations, refer to the Carelon page.
Coding Webinars
Join members of our Coding Compliance team for free webinars. They will present information from official coding resources to improve specificity and accuracy in coding and help close gaps in patients’ care. Learn more
eviCore Healthcare Training
eviCore and BCBSTX periodically will be hosting orientation sessions for providers for various care categories. In addition, eviCore provides ongoing training on the eviCore implementations site. Refer to the eviCore Webex page to register and the select the menu bar symbol located on the left-side of the webpage and select "Webex Training". The "Live Sessions" page will display. Please retain the confirmation email. Use the link and toll-free phone number to access your training
Healthcare Centers of Excellence (HCCOE)
HCCOE is a program that identifies Texas hospitals that have demonstrated they deliver quality specialty care in a safe, effective and cost-efficient manner and is designed to guide consumers in finding quality and value for their specialty care needs.
The HCCOE program will focus on the following types of care: bariatric surgery, knee and hip replacement, maternity care, spine surgery and transplants.
View the HCCOE Quality and Cost Assessment Reference Tool.
Medicare Advantage Trainings
- Blue Cross Medicare Advantage Dual Care (HMO SNP) Model of Care training
- Blue Cross Medicare Advantage Orientation
Physician Efficiency, Appropriateness and Quality (PEAQ) Reports and Training
The PEAQ reporting team periodically offers PEAQ 101 sessions where they will provide a brief overview of the Provider Performance Insights score cards and address pre-submitted questions. When available, register for these sessions below and submit questions here.
- No sessions currently available
For more information, visit the BCBSTX PEAQ page.
Provider Orientation and Training
Welcome New Providers
Take advantage of our Provider Orientations and other reference material available to you. Explore Now
Quality Improvement: Chronic Kidney Disease Management Strategies for Primary Care Providers
Attend our free webinar on measures to track and improve our members’ care. Learn more
Additional Resources
Reference Guides and Quick Links