Notices and Announcments

Remittance Viewer Webinars
The remittance viewer offers providers and billing services a convenient way to retrieve, view, save or print claim detail information  and help reconcile claim data provided by Blue Cross and Blue Shield of Texas (BCBSTX) in the 835 Electronic Remittance Advice (ERA).

To gain access to the remittance viewer, you must be a registered Availity™ user, enrolled to receive the Availity ERA. Online enrollment for ERA may be completed via the Availity Web portal. For additional details, view the Remittance Viewer Frequently Asked Questions and the Remittance Viewer Tip Sheet.

Online training sessions have been scheduled to provide an introduction to the remittance viewer. Participants will learn how to gain or grant access, conduct a search, view general and payer-specific information, and save or print results. In addition, a Question and Answer time will be available.

Select a date and time from the list below to register now.

• March 16 – 11 a.m. to 12 p.m.
• April 20 – 11 a.m. to 12 p.m.
• May 18 – 11 a.m. to 12 p.m.
• June 15 – 11 a.m. to 12 p.m.

Availity is a registered trademark of Availity, LLC. Availity is a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by independent third party vendors. If you have any questions about the products or services offered by such vendors, you should contact the vendors directly.

Annual HEDIS Medical Record Data Collection for 2016
As previously communicated in the January and February issues of Blue Review, BCBSTX is collecting data to meet the requirements of the National Committee for Quality Assurance (NCQA) for Healthcare Effectiveness Data and Information Set (HEDIS^®) and by the U.S. Department of Health and Human Services for the Quality Rating System.

You may receive a request for medical records for one or more of your patients as a part of this process. The request will specify the timeframe and data elements required. It is important that the data collection instructions are followed for each measure.

BCBSTX has contracted with Enterprise Consulting Solutions, Inc. (ECS), HealthPort Technologies, LLC, and IOD Incorporated to collect medical records on our behalf. If contacted by ECS, a key contact in your office will determine the preferred data collection method (fax, secure mail, email or onsite).

Appointments for onsite visits will be scheduled with your staff, if applicable. You will then receive a letter outlining the information that is being requested, and the medical record request list with members’ names and the identified measures that will be reviewed. If you have any questions about medical record requests, please contact BCBSTX at 972-766-6614.

We at BCBSTX thank you for your assistance with this very important health plan quality improvement initiative.

HEDIS is a registered trademark of NCQA.

Enterprise Consulting Solutions, Inc. (ECS), HealthPort Technologies, LLC, and IOD Incorporated are independent third party vendors that are solely responsible for the products or services they offer. BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by independent third-party vendors. If you have any questions regarding the services they offer, you should contact the vendor(s) directly.