2021 News
December 2021 Medical Policy Updates
Medical Policies | December 30, 2021
See the latest medical policy updates made in December 2021.
Medicare Advantage Reminder: Less than 30-Day Readmissions
Medicare Advantage | December 9, 2021
Here's a reminder on the process for less than 30-day readmissions.
Understanding ClaimsXten
Claims | December 6, 2021
Get a better understanding of how ClaimsXten works.
COVID-19 Vaccine, Booster Shots
COVID-19 | December 6, 2021
Get the latest update on booster shots for the COVID-19 vaccine.
RadMD Enhancement: Updating Diagnosis Codes
NIA Magellan | December 3, 2021
Learn about the new enhancement made to RadMD.
November 2021 Medical Policy Updates
Medical Policies | November 30, 2021
See the medical policy updates made in November 2021.
Medicare Advantage Authorization Updates
Medicare Advantage,Prior Authorization | November 23, 2021
See the upcoming changes to the prior authorization requirements for Medicare Advantage.
COVID-19: U0005 Reimbursement
COVID-19 | November 11, 2021
Learn more about the reimbursement for CPT code U0005.
COVID-19 Vaccine, Ages 5-11
COVID-19 | November 3, 2021
Get the latest updates on the COVID-19 vaccine.
Reminder: Proper Use of Modifiers
Claims | November 3, 2021
View the reminders on how to properly use modifiers when submitting claims.
October 2021 Medical Policy Updates
Medical Policies | October 29, 2021
See the medical policy updates made in October 2021.
Upcoming 2022 Annual Provider Summit
Other | October 7, 2021
See the schedule breakdown for the upcoming 2022 Annual Provider Summit!
Self-Administered Block Medication Update
Pharmacy | October 7, 2021
Get the latest updates on the upcoming Self-Administered Block medication changes.
September 2021 Medical Policy Updates
Medical Policies | September 30, 2021
See the latest updates made to the medical policies in September 2021.
Reminder: Laboratory Services
Laboratory Medical Benefits,Medical Policies | September 21, 2021
Learn the importance of reviewing medical policies prior to rendering laboratory services.
Important Notice: Ivermectin
Pharmacy,COVID-19 | September 10, 2021
Get the latest details on Ivermectin as it relates to COVID-19.
Medicare Advantage: Durable Medical Equipment
Medicare Advantage | September 10, 2021
Learn more about durable medical equipment as it relates to our Medicare Advantage plans.
Medicare Advantage: Eligibility, Benefits, and Claims
Medicare Advantage | September 10, 2021
Learn more about eligibility, benefits, and claims as it relates to Medicare Advantage plans.
August 2021 Medical Policy Updates
Medical Policies | August 31, 2021
Here are the updates made to the medical policies in August.
Companion Life Dental Claims
Dental | August 25, 2021
Learn how to file Companion Life dental insurance claims correctly.
Care Management: COVID Discharge Process
Prior Authorization,COVID-19 | August 25, 2021
Get the latest updates on the discharge process for COVID related services.
Changes to Fast-Track Authorizations in My Insurance Manager
Prior Authorization | August 11, 2021
Be on the look out for changes to the Fast-Track authorization options in My Insurance Manager℠.
Reminder: Corrected Claims
Claims | August 2, 2021
See how to properly submit corrected claims for processing.
90-Day Provider Validation Requirements
Enrollment | July 27, 2021
See what changes are coming to the provider validation process!
July 2021 Medical Policy Updates
Medical Policies | July 27, 2021
See the latest medical policy updates made in July 2021.
Refund Letters Now Available in My Insurance Manager℠
Claims | July 23, 2021
See how you can quickly access refund letters in My Insurance Manager℠.
Authorization Enhancements in My Insurance Manager
Prior Authorization | July 13, 2021
See what changes are being made with authorizations in My Insurance Manager!
June 2021 Medical Policy Updates
Medical Policies | June 29, 2021
Here are the medical policy updates made in June.
Reminder: Telehealth Enrollment
Telehealth | June 29, 2021
This is a reminder on the process for enrolling into the Telehealth program.
New Preferred Drugs
Pharmacy | June 22, 2021
Get the latest updates on the changes to come with preferred drugs.
May 2021 Medical Policy Updates
Medical Policies | May 28, 2021
Here are the medical policy updates for May.
Medicare Advantage: 90-day Supply for Maintenance Medications
Pharmacy,Medicare Advantage | May 20, 2021
Learn why you should write a prescription for a 90-day supply of maintenance medications.
HEDIS Measure: Blood Pressure Readings
Quality (HEDIS) | May 20, 2021
Learn the importance of submitting specific blood pressure readings as it relates to HEDIS compliance.
April 2021 Medical Policy Updates
Medical Policies | April 30, 2021
Here are the medical policy updates for April.
Coming Soon: RadMD Enhancements
Prior Authorization,NIA Magellan | April 29, 2021
Get the latest updates on the enhancements being made to RadMD!
New Medical Policy: Cluneal Nerve Block for Treatment of Low Back Pain
Medical Policies | April 23, 2021
Learn about the medical policy for cluneal nerve blocks for the treatment of low back pain.
High Dollar Pre-payment Review (HDPR): CARC 216, RARC N183
Claims | April 15, 2021
Learn about the high dollar pre-payment review process.
Telehealth Updates
Medical Policies | April 13, 2021
See the latest updates for Telehealth.
New Medical Policy: Fibromyalgia Testing
Medical Policies | April 12, 2021
Effective July 1, 2021 BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan will implement a new medical policy addressing fibromyalgia testing.
March 2021 Medical Policy Updates
Medical Policies | March 31, 2021
Here are the medical policy updates made in March 2021.
Blue Exclusive Reedy and Cooper Reminders
Serving Members | March 3, 2021
These are a few friendly reminders about the Blue Exclusive Reedy and Cooper plans.
February 2021 Medical Policy Updates
Medical Policies | February 26, 2021
Here are the medical policy updates made in February 2021.
COVID-19: High Dollar Pre-payment Reviews
COVID-19,Claims | February 9, 2021
Receive the latest updates on high dollar pre-payment reviews.
COVID-19: Telehealth
Telehealth,COVID-19 | February 9, 2021
Receive the latest updates on telehealth services.
COVID-19: Vaccination
COVID-19 | February 9, 2021
Receive the latest information on the COVID-19 vaccination.
COVID-19: Billing
COVID-19 | February 9, 2021
Receive the latest COVID-19 billing guidelines.
Avalon Policy Number Updates
Laboratory Medical Benefits,Medical Policies | February 9, 2021
The policy numbers for the Avalon medical policies have changed.
2021 APS FAQs Now Posted
Training and Special Events | February 8, 2021
The 2021 APS FAQs are now available online.
New Territory Map
Other | February 2, 2021
See the new changes that were made to the Provider Education Territory Map.
TriMed and FEP Changes
Serving Members | February 1, 2021
We regret to inform you that TriMed Services is a non -preferred provider and as of April 1, 2021 we will no longer be contracting with them.
Unsolicited Refunds
Claims | January 1, 2021
Send corrected claims for the fastest payment correction.
January 2021 Medical Policy Updates
Medical Policies | January 29, 2021
Here are the medical policy updates made in January 2021.