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| May 5, 2016 News and Updates Corrected Claim Requests Must be Submitted Electronically Effective July 11, 2016, corrected claim requests must be submitted electronically as a replacement/corrected claim, rather than by calling Provider Customer Service Read More Insurers Now Required by CMS to Conduct Audit for ACA's Risk Adjustment Program Starting in 2016, the Centers for Medicare and Medicaid Services (CMS) requires an annual Initial Validation Audit (IVA) to ensure high quality data is used when assessing the payment transfers for the Affordable Care Act's (ACA) Risk Adjustment (RA) program. Therefore, Blue Cross and Blue Shield of Oklahoma (BCBSOK) is asking for your cooperation and participation in the required Initial Validation Audit (IVA). Read More The remittance viewer offers providers and billing services a convenient way to view and help reconcile claim data provided by Blue Cross and Blue Shield of Oklahoma (BCBSOK) in the 835 Electronic Remittance Advice (ERA). Read More Multiple Referral Submission via iExchange Currently, when you submit multiple referrals for your patient, only the first referral can be submitted via iExchange, and you must call for the additional referrals to prevent a duplicate denial. We’ve received your feedback expressing dissatisfaction and we’re pleased to announce, the following: Effective April 18th, iExchange, our automated preauthorization/referral tool, will allow submission of multiple referral requests for your patient. We’re continuing to identify opportunities to make the process more efficient. Electronic Option to Replace Duplicate Provider Claim Summary Requests Effective July 11, 2016, duplicate copies of paper Provider Claim Summaries (PCSs) may no longer be requested by calling Provider Customer Service and duplicate PCSs will no longer be provided by our Customer Advocates. Read More American Indian Cost Sharing Plans- What’s the Difference? Whether or not you’ve had experience with an American Indian Zero or Limited Cost Sharing plan, it’s important for providers to understand the differences between these unique plans. Read More Provider Data and Directory Updates Feature Tip Six years after it was signed into law, the Affordable Care Act has improved America's health care system in many important ways, Dr. Steven Ondra writes in his latest post on Pulse. But there's still more that could be done to build on the foundation of health care reform. Dr. Ondra lists four key steps that could make the system more effective and sustainable for consumers, providers and payers. In the Community Nominations Open for 2016 Champions of Health Awards Individuals, groups and organizations that are working to positively change the health status of Oklahomans, through unique and innovative programs, are encouraged to apply for the 2016 Champions of Health awards. Read More Members Receive a Discount on Route 66 Marathon Events Blue Cross and Blue Shield of Oklahoma Gives Back to the Central Oklahoma Heart Walk This year the Central Oklahoma Heart Walk raised over $1 million for the American Heart Association.
Web Changes
BCBSOK Online Provider Orientation Medical Policy Reminder While some information on new or revised medical policies may occasionally be published for your convenience, please visit bcbsok.com/provider for access to the most complete and up-to-date information. On-demand Training | |||||||
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