Blue Cross Newsletter
 

March 10, 2010

BC-10-03
SA-10-02
HP-10-02
HHA-10-01

ASC-10-01
MS-10-02
DC-10-01

To: All Blue Cross Contracting Providers
From:

Cindy Garrison, CPC – Education/Communication Coordinator
Institutional Relations
Blue Cross and Blue Shield of Kansas, Inc.
An Independent Licensee of the Blue Cross and Blue Shield Association

Subject:

Calling BlueCard® for Eligibility and/or Pre-Certification/Prior Authorization

Effective April 1, 2010 – Easier Access to Pre-Certification/Pre-Authorization Information for Out-of-Area Blue Members

We are pleased to announce enhancements to the BlueCard Eligibility® Line. These changes will improve your experience in verifying eligibility and obtaining precertification/pre-authorization information for your out-of-area Blue patients. Please note the changes as follows.

If calling 1-800-676-BLUE (2583) to obtain precertification/pre-authorization only:

Effective April 1, 2010, when precertifications/pre-authorizations for a specific member are handled separately from eligibility verifications, your call will be routed directly to the area that handles precertifications/pre-authorizations. You will choose from four options regarding the type of service for which you are calling:

  • Medical/surgical
  • Behavioral health
  • Diagnostic imaging/radiology
  • Durable medical equipment (DME)

Upon making your selection, you will be transferred to the appropriate area of the member's Plan to service your specific request.

If calling 1-800-676-BLUE (2583) to obtain eligibility only or if you need both eligibility and precertification/pre-authorization:

Your call will be handled like it is today. You will select the option to obtain eligibility and precertification/pre-authorization information. First, your eligibility inquiry will be addressed. Then you will be transferred, as appropriate, to the precertification/pre-authorization area.

If you have any questions about the BlueCard Eligibility line (1.800.676.BLUE), please call your provider consultant.

  • Denny Hartman - (316) 269-1602
    (Hospitals in Southern Kansas)

  • Vicki Haverkamp - (785) 291-8862
    (Hospitals in Northern Kansas)

  • Teresa Van Becelaere - (785) 291-8813
    (ESRD, Substance Abuse Facilities, Home Health, Hospice, Skilled Nursing Facilities, Ambulatory Surgery Centers)

CG