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06/09/17 Provider Directory Profile *ACTION REQUIRED* Confirm Your Provider Directory Profile Information
06/06/17 BCBSKS Electronic Precertification 2017 InterQual Browser Support Information
05/22/17 Pre-certification Blue Cross Blue Shield of Massachusetts Pre-certification Changes
04/22/17 Veterans Choice Program VA Eliminates OHI Requirement
04/01/17 Federal Employee Program (FEP) Changes to FEP Plans
03/24/17 Medicaid Members Claims Handling for Medicaid Members
12/30/16 Blue Cross and Blue Shield of Nebraska Day One Precertifcation Review Program effective January 1, 2017
12/29/16 New Directions Behavioral Health Updates to WebPass and Medical Necessity Criteria
12/22/16 Federal Employee Program (FEP)
Updated 4/6/17
2017 FEP Group Health Plans
12/22/16 Prior authorization for Blue Cross and Blue Shield of Minnesota members Required for specific services effective January 2, 2017
12/13/16 State of Kansas (SOK) Employee Health Plans 2017 Plan Designs and Benefit Descriptions
12/02/16 Coding Requirements Habilitative Services and Sex-Specific Procedures and Diagnoses
11/11/16 Med-Trans (dba EagleMed) Non-Contracting as of January 1, 2017
11/07/16 BCBSKS Member Alpha Prefix Update Alpha- Prefix XSI changing to XST effective January 1, 2017
10/20/16 BCBSKS Member Premiums Third-Party Payers
09/26/16 Blue Cross and Blue Shield of Nebraksa Radiology Preauthorization Program
09/06/16 Revised May 26, 2009 Newsletter Billing for Accident Claims
09/01/16 Affordable Care Act Medical Records Requests
06/16/16 Availity Web Portal New Home Screens Effective June 18, 2016
04/21/16 Blue Cross and Blue Shield of Alabama (BCBSAL) Member's Oncology Select Program Electronic Precertification Required
03/01/16 Blue Distinction Centers Blue Distinction Center (BDC) Maternity Care Designation Announcement
12/18/15 HCPCS Code G0154 Discontinued effective January 1, 2016
12/18/15 2016 Reimbursement Hospice Reimbursement Summary effective January 1, 2016
12/01/15 Revised February 21, 2015 Newsletter New Directions Behavioral Health IOP and PHP
11/16/15 Plan 65 Medicare Supplement New Plan G effective January 1, 2016
11/09/15 Federal Employee Program (FEP) 2016 FEP Group Health Plans
10/14/15 Medicaid Program Claims administered by Blue Plans
09/30/15 ICD-10 Implementation BCBSKS Is Prepared!
09/25/15 State of Kansas (SOK) Employee Health Plans 2016 SOK Member Plan Designs and Benefit Descriptions
08/17/15 Clarification of Provider Contract Language Outpatient services resulting from an accidental injury
08/17/15 ICD-10 Edits and Implemention
08/04/15 New EDI Edits Patient Identification Matching
06/26/15 Availity Web Portal Screen Changes Effective June 27, 2015
05/18/15 UB04 Claim Form Field Locator (FL) 66 Required Field effective June 1, 2015
03/18/15 CPT Code 96416 Revised BCBSKS Guidelines
02/21/15 New Directions Behavioral Health
See Revised Newsletter dated 12/1/15
Intenstive Outpatient Program (IOP) and Partial Hospitalization Program (PHP)
12/23/14 New Directions Behavioral Health New online tool for clinical submission
12/15/14 Affordable Care Act (ACA) Eligibility Grace Period Response
11/12/14 Federal Employee Program (FEP) 2015 FEP Group Health Plan
10/23/14 State of Kansas (SOK) Employee Health Plans 2015 SOK Member Plan Designs and Benefit Descriptions
10/14/14 New BCBSKS Subsidiary and Product BlueCross BlueShield Solutions, Inc.
07/30/14 Verisk Health Request for Medical Records from Providers
07/28/14 BCBSKS Medical Policy Influenza Virus Diagnostic Testing and Treatment in the Outpatient Setting
07/25/14 Revenue Code 0684 Reimbursement effective January 1, 2015
07/10/14 BCBSKS Policy Provider payment of premiums for Marketplace Health Plans
07/01/14 Provider Financial Responsibility effective July 1, 2014 Pre-Service Review for BlueCard® Members
06/16/14 Blue Cross and Blue Shield of Kansas City (BCBSKC) Prior Authorization Program effective October 1, 2013
04/25/14 Value Code 02 on UB04 Claim Form Required for Private Room Only Facilities
03/07/14 Electronic Prior Authorization Submission CoverMyMeds
01/28/14 Leasing the BCBSKS Provider Network Group Farmer's Alliance
12/12/13 Electronic Provider Payment Electronic EFT form available 1/1/14
12/10/13 Telemedicine Services Billing Guidelines and Reimbursement
12/02/13 Pre-Service Review Update Electronic Provider Access (EPA) for Pre-Service Review of Out-of-area Blue Members
11/13/13 Federal Employee Program 2014 Benefit Plans and Plan Changes
11/12/13 Affordable Care Act Health Insurance Marketplaces (a.k.a. Exchanges)
10/31/13 Pre-Service Review Electronic Provider Access
10/08/13 Affordable Care Act Mandate Referring Provider required on claims for Native Americans effective January 1, 2014
10/03/13 State of Kansas (SOK) employee health plans 2014 State of Kansas (SOK) Member Plan Designs and Benefit Descriptions
10/01/13 UB-04 Claim Form Field Locator 4 (Type of Bill) Change for Home Health Agencies effective October 1, 2013
09/27/13 UB-04 Claim Form Point of Origin for Admission or Visit Code Required
09/26/13 Affordable Care Act Verisk chosen as Medical Record Retrieval Coordinator for BCBSKS member claims
09/13/13 Blue Distinction Centers Kansas hospitals recognized in 2013
09/12/13 ICD-10 Readiness Provider's Vendor and Clearinghouse
09/10/13 UB04 Claim Form New Patient Discharge Codes effective 10/1/13
09/05/13 Updated Medical Policy Intra-articular Hyaluronan Injections for Osteoarthritis
08/12/13 Updated January 8, 2007 Newsletter Leasing BCBSKS Provider Network
08/09/13 Self-service web tools
Correction to OPL Newsletter published 07/12/13
Other Party Liability (OPL)
07/17/13 Provider Access Availity Web Portal
07/12/13 BCBSKS Electronic Precertification Changes due to InterQual 2013 upgrade
07/12/13 Self-service web tools Other Payer Liability (OPL)
07/10/13 Medicare Duplicate Claims and Pricing Requirement
06/20/13 EDI Edit Change Occurrence Code 55
04/10/13 Explanation of Benefit Reference Based Benefits
04/02/13 Independent Clinical Labs BCBSKS Claims Filing Process
02/26/13 DeNovo NT Natural Tissue Graft by Zimmer BCBSKS considers DeNovo NT Natural Tissue Graft as E/I
02/20/13 National Drug Code (NDC) NDC format change due to HIPAA 5010
02/07/13 Updated Coverage Information Coverage for Breast Pumps and Supplies
12/28/12 Group Update 2013 State of Kansas and Federal Employee Program Member Benefits
12/27/12 Electronic Inpatient Precertification Choosing Episode Day in InterQual
07/27/12 Health Care Reform Preventive Services Women's Preventive Services effective 8/1/12
06/25/12 Healthcare Reform Initiatives Consumer Transparency
04/30/12 BCBSKS Systems Updated Admission Date and Service Coverage Period and POA Indicator
04/18/12 Patient Reason for Visit (PRV) Clarification of HIPAA 5010 Requirement for PRV
04/17/12 Blue National Doctor & Hospital Finder Locating a Contracting BCBSKS Provider
03/22/12 Stacking Codes for Molecular Pathology Lab Pure codes required 1/1/2012
03/21/12 Availity Health Information Network BCBSKS now on Availity Portal
01/25/12 BCBSKS Member Eligibility and Claim Status information on Availity Availity roll-out delayed
01/01/12 Group Update 2012 Federal Employee Program (FEP) Changes
01/01/12 Group Update 2012 State of Kansas Changes
08/26/11 BCBSKS Guideline Clarification
See Revised Newsletter March 18, 2015
CPT Code 96416, Chemotherapy Administration, intravenous
08/22/11 Medicare Mass Adjustment Change in Automatic Crossover for Medicare Mass Adjustments will include FEP
08/01/11 BCBSKS Secure Access Changes in the display of BlueAccess Web pages
07/14/11 Medicare Mass Adjustments Change in Automatic Crossover for Medicare Mass Adjustments
06/30/11 Benefit Changes Member Contracts Effective 7/1/2011
05/17/11 Therapy Services Therapy Services
04/28/11 Medical Policy Guideline IG-MLD for Spinal Stenosis
04/22/11 HIPAA 5010 BCBSKS Testing HIPAA 5010
01/14/11 Inquiries Authenticating a Provider
01/14/11 Claim Processing Blue Cross and Blue Shield of Kansas Claims Secondary to Medicare
01/05/11 Claim Processing Category III Codes
12/30/10 Policy Guideline Limited Patient Waiver
12/21/10 Special Group Updates 2011 Federal Employee Program Changes
12/21/10 Special Group Updates 2011 State of Kansas Changes
12/13/10 HIPAA 5010 HIPAA 5010 Requirements - UB04 Change
12/06/10 Boeing Network New Boeing Benefits Administrator
11/23/10 Claim Denials Medical Records Request
10/11/10 Medical Policies and Precertification/ Pre-authorization Medical Policy and Pre-Certification/ Pre-Authorization Router
10/08/10 Medical Policy Guideline Tympanoplasty & Gynecomastia
08/17/10 Secondary to Medicare Claims UPDATE: Part A Crossover Problem
07/26/10 Secondary to Medicare Claims Part A Crossover Problem
07/23/10 BlueCard Medicare Advantage Billing Reminder
07/19/10 Blue Access Secure Services Deleting Provider Profiles
07/12/10 Claim Denials Invalid Identification Numbers
06/28/10 Walmart Walmart: New ID Cards
06/23/10 Point of Origin & Condition Code Changes UB04 Claim Filing
05/21/10 HIPAA 5010 HIPAA 5010 Requirements
04/28/10 HCPCS Codes

New HCPCS Codes Effective April 1, 2010

03/10/10 BlueCard Calling BlueCard® for Eligibility and/or Pre-Certification/Prior Authorization
01/18/10 Federal Employee Program Prior Authorization 10-01 FEP Requires Prior Authorization for IMRT
12/21/09 2010 Special Groups update
09-15 Federal Employee Program (FEP) and State of Kansas Employee (SOK) Groups
12/14/09 Walmart Behavioral Health Services 09-14 Walmart Associates To Obtain Pre-authorization from New Directions
11/23/09 Updated: Secondary to Medicare Claims 09-13 Blue Cross Claims Secondary To Medicare: Update
11/16/09 Boeing CAP Network
Newsletter replaced. Refer to Contracting Hospitals October 15, 2010 newsletter.
09-12 Boeing to Utilize CAP Network
11/16/09 BlueCard 09-11 BlueCard Provider Appeals
08/10/09 Medical Policies 09-10 Providers Are Encouraged To Review Online Medical Policies And Sign Up For ListServ
06/30/09 BlueCard International 09-09 Acquisition by Triple-S of La Cruz Azul's Managed Care Portfolio
06/16/09 Member Questionnaire 09-08 Other Party Liability
05/26/09 Billing 09-07 Accident Claim Guidelines
04/23/09 State of Kansas 09-06 Claim Adjustment Timeliness
04/22/09 Blue Select & Premier Blue 09-05 Blue Select & Premier Blue Discontinued
02/25/09 FEP Newborn Claims 09-04 FEP
02/02/09 Secondary to Medicare Claims 09-03 New Warning Edits
01/19/09 Premier Blue 09-02 Premier Blue Discontinued
01/09/09 2009 Special Groups Update 09-01 Federal Employee Program (FEP) and State of Kansas Employee Group
Previous Years
09/15/08 ID Cards 08-01 New Id Cards Arriving This Fall
03/16/2006 BlueCard Claims, Plan 65, Medicare Exclusion Rider (MER), Complementary to Medicare, Crossover Medicare Claims – Consolidated Crossover Process (BCBS Claims Secondary to Medicare)
04/07/2005 Plan 65, Medicare Exclusion Rider (MER), Claim Processing, Complementary to Medicare, Crossover BCBSKS Claims Secondary to Medicare
08/06/2003 Anthem Affiliation Kansas Supreme Court Decision Relating to Proposed Affiliation with Anthem Blue Cross and Blue Shield
03/18/2003 Plan 65, Medicare Exclusion Rider, Claim Processing, Complementary to Medicare, Crossover Obtaining Payment From Blue Cross For Medicare Balances
01/04/2001 Rural Health Clinic Crossover/Riverbend
01/13/1998 Rural Health Clinic RHC-Obtaining Blue Cross Payment
11/25/1996 Therapy Svcs-SNF SNF-Therapy Services
09/23/1994 Rural Health Clinic RHC-Obtaining Payment From Blue Cross
03/15/1994 Ancillary Services Ancillary Svcs, Inpatient Stay Not Medically Necessary