Blue Cross Newsletter
 

 

June 30, 2009 

 

BC-09-10
MS-09-09
HHA-09-07
HP-09-07


 

ASC-09-08
SA-09-09
DC-09-07

To: All Blue Cross Contracting Providers
From: Cindy Garrison, Communications Coordinator
Institutional Relations
Blue Cross and Blue Shield of Kansas, Inc.
An Independent Licensee of the Blue Cross and Blue Shield Association
Subject:

Acquisition by Triple-S of La Cruz Azul's Managed Care Portfolio

Background
Triple-S requested from the Blue Cross and Blue Shield Association’s Board of Directors, approval of the transfer of the licensing rights to the Blue Cross brand in Puerto Rico and the Blue Cross and Blue Shield brands in the US Virgin Islands.

The scheduled closing date of the acquisition is July 1, 2009.

Transition – La Cruz Azul
Currently, the La Cruz Azul Licensee operates under Plan Code 470, and has active alpha prefixes: ZTA, ZTB, ZTC, and ZTD.  All La Cruz Azul membership will be enrolled with Triple-S effective July 1, 2009.  Because of this acquisition, providers should no longer accept Blue ID cards with these alpha prefixes on or after July 1, 2009.

Claims Run-Out Period for La Cruz Azul
The claims run-out period for La Cruz Azul is July 01, 2009 - December 31, 2009.
For La Cruz Azul members receiving services from providers outside of the Puerto Rico service territory but within another Blue Plan’s service territory on or before June 30, 2009, claims will be processed through BlueCard.  Any claim received on or after January 1, 2010, regardless of the date of service, will not be processed through BlueCard.  Claims filed on January 1, 2010 or later will need to be submitted directly to the member's Home Plan.  The Home Plan's address is located on the member's identification card, so be sure to make a copy of the member's card.

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