| Dec. 5, 2014 News & Updates Operator of BCBSOK Ranked No. 1 for Medicare Prescription Drug Plan
U.S. News and World Report released its 2015 Medicare Star ratings in October, and the operator of Blue Cross and Blue Shield of Oklahoma (BCBSOK) has been rated as having the No. 1 Medicare Part D prescription drug plan (PDP). Star ratings are based on a five-star plan rating using a methodology developed by the Centers for Medicare and Medicaid Services to compare plans within each state and reflect 2013 program performance. Making Networks Work
We hope our members will do their homework and “know their network” before seeking your services, but it may take time for some of your patients to become accustomed with how things work. For this reason, we want to stress the importance of confirming that you are an in-network provider for each patient before rendering services.
Read more. Open Enrollment: Welcoming New and Renewing Members
Whether members’ keep their same plan from 2014 or elect a different plan for 2015, one key component of the 2015 ID cards will remain the same. The network code will remain on the front of all cards. Checking the network code is critical because it identifies in-network providers according to each member’s plan or product.
Read more. Fourth Quarter 2014 Pharmacy Optimization Initiative Highlights
The fourth quarter pharmacy initiative will highlight recent pharmacy program enhancements, helpful reminders, links to related resources and a quick review of upcoming initiatives.
Read more. In Every Issue Featured Tip: Fighting Hidden Food Allergens
You know that not all food labels are reliable when listing allergens. But do your patients? “Undeclared” allergens are the leading cause of food recalls by the U.S. Food and Drug Administration.
Read more. Web Changes BCBSOK Online Provider Orientation
The Online Provider Orientation is a convenient and helpful way for providers to learn about the online resources available to them. Medical Policy Reminder
Approved new or revised BCBSOK medical policies and their effective dates are posted on the BCBSOK website the first day of each month. These policies may impact your reimbursement and your patients’ benefits. You may view all active and pending policies, or view draft Medical Policies and provide comments. These can be accessed on the Standards and Requirements page of our provider website. 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
An eRM tutorial is available to show you how to navigate the features of the eRM tool. Log in at your convenience to complete the tutorial and use it as a reference when needed. | 