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Blue Review — Provider Newsletter

Our Blue Review provider newsletter is released monthly so that you and your staff have the latest news on claims and billing, federal mandates, medical policies, condition management programs, practice guidelines, formulary/drug list updates, Medicaid, BlueCard, and educational webinars.


November 2014  — Read these articles and more…

  • BCBSNM simplifies preauthorization requirements for psychological and neuropsychological testing
  • Fighting health care fraud, one call at a time
  • Benefits Value Advisor program adds member outreach component
  • Medical record submission ‘dos and don’ts’

October 2014  — Read these articles and more…

  • Pharmacy program benefit changes, effective Jan. 1, 2015
  • How providers can impact HEDIS®
  • Revised: Centennial Care copayment changes
  • Medicare vs. commercial risk adjustment

September 2014  — Read these articles and more…

  • Electronic Provider Access now available for out-of-area member pre-service reviews
  • ClaimsXten™ updates
  • Medicaid – Behavioral health managed care fee schedule updates
  • In the Know: Medicare Marketing Guidelines for Providers

August 2014  — Read these articles and more…

  • ClaimsXten™ November 2014 update
  • Notice of fee schedule update
  • Rapid response for your Blue Cross Community CentennialSM pharmacy prior authorization requests
  • Centennial Care copayment changes

July 2014  — Read these articles and more…

  • "Got Shots? Protect Tots!" event planned for August 2-16
  • Introducing electronic provider access for out-of-area members
  • ClaimsXtenTM third quarter 2014 updates
  • Supporting appropriate use of prescribed controlled substance medications

June 2014  — Read these articles and more…

  • Save time on prescription drug benefit prior authorization (PA) requests
  • New webinar: Introducing Remittance Viewer
  • Important information for Lovelace Health Plan providers
  • Medication adherence

To request a PDF version of the Blue Review newsletter, call Network Services at 800-567-8540 or 505-837-8800.