Blue Review - Blue Cross and Blue Shield of Texas

Notices and Announcments

ICD-10: It’s Really Happening
The transition to ICD-10 is federally mandated. The compliance deadline is Oct. 1, 2015. As of the compliance deadline, claims without valid ICD-10 codes, as required, will not be accepted by Blue Cross and Blue Shield of Texas (BCBSTX). Use of ICD-10 also affects eligibility and benefits requests, preauthorization, electronic health records, referrals and other processes.

Are you ready? Are you sure?
Take action now. Visit the Standards and Requirements/ICD-10 section of the BCBSTX provider website for readiness tips and educational resources.

Join Us for a Webinar: Using ICD-10 in Online Benefit Preauthorization Requests
BCBSTX will be offering educational webinars through September 2015 to demonstrate the differences you may encounter when using ICD-10 codes in iExchange®, our online benefit preauthorization and referral tool. Select a date from the list below to register now for an iExchange ICD-10 Enhancements webinar.

July 22, 2015 – 2 p.m. to 3 p.m., CT
Aug. 12, 2015 – 11 a.m. to noon, CT
Sept. 16, 2015 – 2 p.m. to 3 p.m., CT

Please note that the fact that a guideline is available for any given treatment, or that a service has been preauthorized/pre-certified, is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage applicable on the date services were rendered.


 



BCBSTX makes no endorsements, representations, or warranties about any products or services offered by
independent third-party vendors mentioned in this newsletter. The vendors are solely responsible for the products or
services offered by them. If you have any questions about the products or services mentioned in this newsletter,
contact the vendor directly.


A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of the Blue Cross and Blue Shield Association.

Blue Review • July 2015 • www.bcbstx.com