December 3, 2015 News & Updates
ICD-10: Moving Toward Business As Usual
Across the industry, the move to ICD-10 appears to have been relatively smooth for most providers. Now that we have transitioned to ICD-10, our dedicated ICD-10 email help desk at icd@bcbsok.com will be discontinued on Dec. 31, 2015. For reference purposes, general information such as links to industry resources will remain available in the Standards and Requirements/ICD-10 section of our Provider website. As always, if you have questions or need personalized assistance, you may contact your assigned Provider Network Representative. Changes Slated for Oklahoma Retail Market in 2016: BlueChoice PPO Network Discontinuance
The retail health insurance market has evolved significantly since 2014. These changes require Blue Cross and Blue Shield of Oklahoma (BCBSOK) to make adjustments in 2016 that will allow us to continue offering sustainable health insurance options to Oklahomans across the state. Beginning Jan. 1, 2016, BCBSOK will no longer offer individual health insurance plans, including Blue OptionsSM, that utilize the BlueChoice® PPO network. Learn more. 2015 Provider Satisfaction Survey Results are Now Available
Our annual provider satisfaction survey is used to find out what providers think about BCBSOK. View the most recent survey results from 2015. 2014 Customer Survey Results Are Now Available
Our ongoing phone survey is used to find out what members think about their health plan. Every month, members are questioned about their interaction with their health plan, and their doctors and hospitals. View our most recent survey results from 2014. Interpreting the PLB Segment on the 835 ERA
Review detailed information — and share with your practice management software vendor, and/or your billing service or clearinghouse, if applicable — about provider-level adjustments (PLB) that are reported in the PLB segment within your 835 Electronic Remittance Advice (ERA) from BCBSOK. Featured Tip
Coordinating Care for Mental Illness Makes a Difference for Patients
Mental illness is a serious problem in the United States. Learn what BCBSOK’s Behavioral Health Care Coordination and Early Intervention program's (CCEI) goal is for this population. Web Changes Provider Data and Directory Updates
Maintaining accurate provider data and directories are an important part of providing Blue Cross and Blue Shield of Oklahoma (BCBSOK) members with the information they need to manage their health. Please review our online provider directory, Provider Finder®. The directory is a helpful tool for providers to refer their BCBSOK patients to other participating providers. To update your directory information or other provider information such as tax identification numbers, supervising physician information, hospital privileges, etc., please submit the BCBSOK Provider Notification/Contract Request Form Provider Notification form via fax to 918-549-2141 or email the form to oknetworkmanagement@bcbsok.com. All changes should be submitted at least 30 days in advance of the effective date of change. For more information, please contact your BCBSOK Provider Network Representative. 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. | 