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This newsletter includes short summaries, reminders and updates for Blue Cross and BCN providers. Please visit The Record or BCN Provider News for complete newsletter editions.
We’re introducing Blue Elect Plus HSA plan in January Providers may see patients in our new Blue Elect Plus HSA℠ POS plan starting January 2022. The plan has the same features as BCN’s Blue Elect Plus℠ POS, except that it’s an HSA-qualified high deductible health plan. Read more: Page 3 of the November–December 2021 BCN Provider News We’re moving to Availity in 2022 A group of preselected providers will test our Availity® applications starting December 2021. A timeline for our transition to the Availity provider portal and FAQs document can be found in the following articles: We’ve created a diabetes toolkit for members In recognition of National Diabetes Month in November, we developed a diabetes flyer and other tools to help members with diabetes take control of their health. You’re welcome to use the toolkit with your patients in your practice. Read more: Reminder: Contact Provider Inquiry for claims issues If you’re experiencing claims issues, you should contact Provider Inquiry before calling your provider consultant. If you don’t think your issue has been satisfactorily resolved, ask the representative to escalate your inquiry to our help desk in Provider Inquiry.
Read more: Holiday office closings Blue Cross and BCN offices will be closed Nov. 25-26 (Thanksgiving). Thank you for helping us achieve stellar ratings by CMS The Centers for Medicare & Medicaid Services announced the 2022 star ratings. Our BCN Advantage℠ HMO plan now has a 5-Star rating and our Medicare Plus Blue℠ PPO plan now has a 4.5-Star rating. Read more: Additional edits coming in December for Blue Cross commercial claims In support of our commitment to payment integrity solutions that support payment accuracy and encourage correct coding, you’ll begin to see new edits starting in December that will occur through our new partnership with Optum. Read more: November 2021 issue of The Record How to avoid claim rejections when Medicare is primary We are experiencing a high volume of claim rejections for UAW Retiree Medical Benefits Trust, or URMBT, members with group numbers 71400, 71434, 71435, 71436 and 71472. These members have Medicare as their primary coverage. Read more: Oct. 11 web-DENIS message We’ve made improvements to the BCN Provider Manual We redesigned the chapters so they’d be easier for you to use. Read more: Page 6 of the November–December 2021 BCN Provider News We’ve enhanced Benefit Explainer We’ve recently launched new Benefit Explainer features that appear under the Benefit Package Report and Medical/Payment Policy tabs. Read more: November 2021 issue of The Record Medicare Plus Blue claims submission process for some musculoskeletal procedures has changed For claims submitted on or after Oct. 1, 2021, you no longer need to call Provider Inquiry for musculoskeletal surgical and related procedures originating in the emergency department for Medicare Plus Blue members. Instead, you’ll simply submit the claim with an emergency indicator of Y on the CMS-1500 claim form or the SV109 field of the 837P claim transaction. Read more: November 2021 issue of The Record
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Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. |