Blue Review - July 2016
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A newsletter for physician, professional, facility, ancillary and Medicaid providers |
July 2016
Note: As mentioned last month, Blue Review has a new layout, a print button on each page and weâre including Medicaid information. We’re hoping the new layout makes it easier to see and keep the information you need.
Monthly News from BCBSTX Medicaid (STAR) & CHIP Providers - July 2016 Beginning this month, Medicaid information is now included in this monthly newsletter, which publishes the first Wednesday of each month. Access the Medicaid newsletter by clicking the “Read More” button below. | |
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Administrative Updates
New Preauthorization Requirements through eviCore
Beginning Oct. 3, 2016, eviCore healthcare, an independent specialty medical benefits management company, will begin managing pre-service authorization for some specialized clinical services.
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Reminder: Corrected Claim Request Alert: Changes Effective July 11, 2016
As a reminder, effective July 11, 2016, corrected claim requests for previously adjudicated claims must be submitted as electronic replacement claims, or on the appropriate professional (CMS-1500) or institutional (UB-04) paper claim and Claim Review form.
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Notices and Announcements
In this issue of the newsletter, learn more about how remittance viewer offers providers and billing services convenient access to claims information.
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Provider Network Resources
Zika Toolkit Offered by Texas Department of State Health Services
The Texas Department of State Health Services has developed a Zika Communications Toolkit for any organization interested in sharing important information about the Zika virus with their constituents. The Toolkit includes a variety of both English and Spanish newsletter copy, as well as social media copy and graphics for all Texans, pregnant women, travelers and people who work outdoors. Please feel free to use and share the information. Other free materials, including fact sheets, posters and push cards are also available for download and order on the Texas Zika website at TexasZika.org.
BCBSTX is required to provide certain notices in all published correspondence with physicians, professional providers, and facility and ancillary providers. For the latest updates, visit the News and Updates area of the BCBSTX provider website. Get started now on reviewing this month’s articles. |
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View our quick directory of contacts at BCBSTX. Update Your Contact Information Accurate provider directories are an important part of providing Blue Cross and Blue Shield of Texas (BCBSTX) members/subscribers with the information they need to manage their health. Please update your contact information, you should submit all changes at least 30 days in advance of the effective date of change. Please submit your correspondence via: • Fax: 972-231-9664 If your specialty, practice information/status or board certification is not correct on the BCBSTX Provider Finder®, or if you would like to have a subspecialty added, please contact your Network Management office. In addition, BCBSTX periodically identifies providers who have not submitted claims for a period of one year. We make an effort to contact each provider to confirm their information. If the provider does not respond, we will initiate a network termination. Similarly, BCBSTX will inactivate any tax identification numbers (TINs) under which there have been no claims submitted for a period of one year. |
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