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.

May 2012  – Read these articles and more...

• Important v5010 reminders for electronic claim submitters
• Appropriate use of modifiers 76 and 91
• NM Human Services Department issues letter of direction #43, coding/procedure options for opioid addiction treatment with suboxone or buprenorphine

April 2012  – Read these articles and more...

• Clinical practice guidelines update
• Get answers faster with online claim inquiry resolution
• Billing IV infusion and injection procedures
• BlueSalud – importance of advance directives

March 2012  – Read these articles and more...

• Pharmacy prior authorization and step therapy requests
• ICD-10: preparing for the journey ahead
• BlueCard national account update: online benefits now available for Central States Funds members

February 2012  – Read these articles and more...

• Behavioral Health Program changes
• BCBSNM Specialty Pharmacy Program
• Pharmacy program utilization management transition

January 2012  – Read these articles and more...

• Preauthorization and predetermination process
• Filing BlueCard ancillary claims
• New BlueSalud provider requirements for billing supplies

December 2011  – Read these articles and more...

• Medical record requests: include our letter as your cover sheet
• ANSI Version 5010 compliance reminders
• Behavioral health providers: save time - go online!

To request a PDF version of the Blue Review newsletter, call Network Services at 1-800-567-8540 or 505-837-8800.