Previous Newsletters

December 2014  — Read these articles and more…

  • Bulk Powder Compounds: Claim Processing Change, Effective Feb. 1, 2015
  • Making Network Work
  • Fighting Fraud: Upcoding Practices on Claims
  • Adult Medicaid Quality Grant Program (AMQG): Diabetes prevention and Disease Management

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