CommercialDecember 1, 2018

December 2018 BCBSGa Provider Newsletter

Administrative

AdministrativeCommercialNovember 30, 2018

Coordination of Benefits for an FEP® member

AdministrativeCommercialNovember 30, 2018

2019 BCBSGa provider Town Hall meeting schedule

AdministrativeCommercialNovember 30, 2018

Availity to serve as EDI entry point for electronic submissions

AdministrativeCommercialNovember 30, 2018

Request an appeal using Interactive Care Reviewer (ICR)

AdministrativeCommercialNovember 30, 2018

Coordination of care

AdministrativeCommercialNovember 30, 2018

Important information about utilization management

AdministrativeCommercialNovember 30, 2018

Members’ rights and responsibilities

AdministrativeCommercialNovember 30, 2018

About our Network eUPDATE email tool

AdministrativeCommercialNovember 30, 2018

2019 FEP Benefit information available online

AdministrativeCommercialNovember 30, 2018

HEDIS® 2018 commercial results are in

AdministrativeCommercialNovember 30, 2018

Use the Provider Maintenance Form to update your practice information

Policy Updates

Policy UpdatesCommercialNovember 30, 2018

Notification of preapproval list changes (December 2018)

Policy UpdatesCommercialNovember 30, 2018

System updates for 2019 (Professional)

Medical Policy & Clinical GuidelinesCommercialNovember 30, 2018

Updates to AIM musculoskeletal surgery clinical appropriateness guidelines

Medical Policy & Clinical GuidelinesCommercialNovember 30, 2018

Update to AIM clinical appropriateness guidelines

Medical Policy & Clinical GuidelinesCommercialNovember 30, 2018

Restructure of AIM advanced imaging clinical appropriateness guidelines

Medical Policy & Clinical GuidelinesCommercialNovember 30, 2018

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 12/1/2018

Reimbursement PoliciesCommercialNovember 30, 2018

Bundled services and supplies (Professional)

Reimbursement PoliciesCommercialNovember 30, 2018

Reimbursement for convenience surgical supply kits (Professional)

Reimbursement PoliciesCommercialNovember 30, 2018

Scope of License reimbursement policy update (Professional)

Products & Programs

Products & ProgramsCommercialNovember 30, 2018

Introducing SmartShopper, the consumer shopping and savings program for medical care
SmartShopper is an incentive and engagement program that activates members to change behavior and shop for health care.

Products & ProgramsCommercialNovember 30, 2018

Case Management Program

Products & ProgramsCommercialNovember 30, 2018

ConditionCare Program benefits patients and physicians

State & Federal

State & FederalMedicare AdvantageNovember 30, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

State & FederalMedicare AdvantageNovember 30, 2018

2019 Medicare Advantage individual benefits and formularies

State & FederalMedicare AdvantageNovember 30, 2018

CMS Medicare Preclusion List effective April 1, 2019

State & FederalMedicare AdvantageNovember 30, 2018

When and how to initiate Medicare Advantage reopenings

State & FederalMedicare AdvantageNovember 30, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

State & FederalMedicare AdvantageNovember 30, 2018

Medical Policies updated

State & FederalMedicare AdvantageNovember 30, 2018

Keep up with Medicare news