2023 News
2023 December Medical Policy Updates
Medical Policies | December 28, 2023
Updates were made to certain medical policies in December 2023.
2023 November Medical Policy Updates
Medical Policies | November 29, 2023
Updates were made to certain medical policies in November 2023.
Important Information on Satellite Locations
Enrollment | November 15, 2023
In My Provider Enrollment Portal, you can can add the primary and secondary locations.
Upcoming 2024 Annual Provider Summit
Health Initiatives,Dental,Enrollment,Benefits,Claims | November 14, 2023
Here are the dates for the 2024 Annual Provider Summit
2023 October Medical Policy Updates
Medical Policies | October 31, 2023
Updates were made to certain medical policies in October 2023.
Preventive Flu Vaccines
Pharmacy,Benefits | October 24, 2023
Members can get flu vaccines covered under their pharmacy benefit at any in-network pharmacy with no cost-share.
Reminder: Medicare Advantage and Cotiviti
Medicare Advantage | October 24, 2023
Medicare Advantage uses Cotiviti to conduct post payment audit validations.
Signing Your Provider Enrollment Documents
Enrollment | October 5, 2023
All provider enrollment processes must go through My Provider Enrollment Portal. This includes signing your documents.
2023 September Medical Policy Updates
Medical Policies | September 29, 2023
Updates were made to certain medical policies in September 2023.
Importance of Proper Coding
Claims | September 26, 2023
Use proper coding to ensure your claims process correctly.
2023 August Medical Policies
Medical Policies | August 31, 2023
Updates were made to certain medical policies in August 2023.
Reminder: Provider Enrollment 7 – 7 – 7 Rule
Enrollment | August 4, 2023
Recent timeliness regulations from South Carolina Department of Health and Human Services and other entities requires BlueCross to implement the 7-7-7 rule.
New Assistance for Providers From ProgenyHealth
Prior Authorization,Benefits | August 4, 2023
BlueCross BlueShield of South Carolina will begin working with ProgenyHealth Oct. 7, 2023.
2023 July Medical Policy Updates
Medical Policies | July 31, 2023
Updates were made to certain medical policies in July 2023.
Making Corrections to Provider Enrollment Applications
Enrollment | July 12, 2023
Make corrections to provider enrollment applications in My Provider Enrollment Portal.
2023 June Medical Policy Updates
Medical Policies | June 29, 2023
Updates were made to certain medical policies in June 2023.
2023 May Medical Policy Updates
Medical Policies | May 24, 2023
Updates were made to certain medical policies in May 2023.
Reminder: BlueExclusive and BlueExtend Plans
Benefits | May 22, 2023
BlueCross BlueShield of South Carolina offers BlueExclusive℠ and BlueExtend℠ plans to provide coverage for individuals and families in select counties.
Reminder: 90-Day Provider Validation Requirements
Enrollment | May 22, 2023
Be sure to verify or update your provider demographic data at least every 90 days.
Medicare Advantage Partners with Integrated Home Care Services
Medicare Advantage,Prior Authorization | May 5, 2023
Medicare Advantage partners with Integrated Home Care Services for the coordination and provision of durable medical equipment (DME), home health and home infusion services beginning July 5, 2023.
Updates to Provider Enrollment, Effective June 1, 2023
Enrollment | May 4, 2023
My Provider Enrollment Portal will be the sole source for completing provider enrollment processes beginning June 1, 2023.
2023 April Medical Policy Updates
Medical Policies | April 28, 2023
Updates were made to certain medical policies in April 2023.
2023 March Medical Policy Updates
Medical Policies | March 30, 2023
Updates were made to certain medical policies in March 2023.
New Enhancements to My Provider Enrollment Portal
Enrollment | March 9, 2023
In February, we made additional enhancements to MyPEP to provide better direction and improve efficiency.
Public Health Emergency for COVID-19 to End
COVID-19 | March 3, 2023
The public health emergency for COVID-19 will end on May 11, 2023.
2023 February Medical Policy Updates
Medical Policies | February 28, 2023
See the latest medical policy updates made in February 2023.
Glucagon-Like Peptide-1 Agents Utilization Management Update
Pharmacy,Prior Authorization | February 3, 2023
We will require prior authorization for glucagon-like peptide-1 medications beginning Feb. 13, 2023.
2023 January Medical Policy Updates
Medical Policies | January 31, 2023
See the latest medical policy updates made in January 2023.
Blue Distinction Centers
Benefits,Claims | January 24, 2023
Here's an update on Blue Distinction Centers for Transplants
Federal Employee Program (FEP) Joins the CenteringPregnancy Initiative
Benefits | January 17, 2023
Learn more about the CenteringPregnancy initiative with our FEP plans.
Continued Education on Biosimilars
Other | January 3, 2023
Learn more on biosimilars and how to receive continued education on the subject.
BlueCross BlueShield of South Carolina Partners with HealthHelp
Prior Authorization | January 1, 2023
Read more on the upcoming partnership with HealthHelp.
Medicare Advantage Molecular Diagnostic Testing
Medicare Advantage,Prior Authorization | January 23, 2023
Learn about new prior authorization requirements for molecular diagnostic testing for our Medicare Advantage plans.