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News Archive

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Showing 1– 15 of 124 Results

Latest News

CareAdvance Provider® Tool Expanding to Commercial Business on April 20

Audience:

Our new electronic preauthorization tool, CareAdvance Provider, will be used to request authorizations for our members with commercial coverage as of April 20, 2020. This includes: traditional indemnity, HMO, PPO, EPO and point-of-service products.  Important...

Discontinuation of Paper Notification of Claim Billing Errors Effective April 4

Audience: Professional providers

Effective April 4, 2020, Excellus BlueCross BlueShield will discontinue its practice of sending a paper notification when certain billing errors occur. This change is part of our overall effort to reduce the amount of paper sent to provider practices.  We first...

COVID-19 Administrative Contingencies, Other Assistance for Providers

Audience: Providers and Facilities

We are grateful for the service that our participating providers and facilities are providing to our members and communities during the COVID-19 State of Emergency. Our goal is to reduce the administrative burden on providers and facilities so that more time can be spent...

New Prior Authorization for Select Oncology Medications Starting June 1

Audience: Oncologists, Hematologists, Neurologists and Rheumatologists

Over the past few months multiple new biosimilar oncology medications have entered the market. In an effort to reduce costs while maintaining high safety, efficacy and quality standards we are deploying new prior authorization requirements on select oncology medications...

Medical Utilization Management Program Updates Effective April 6, 2020

Audience: All providers

We would like to share an overview with you regarding our standard medical Utilization Management (UM) Program updates effective for requests beginning April 6, 2020 . These updates will be available on March 27, 2020 . For services already existing on our...

COVID-19 Testing Codes; No Member Cost-Share for Telehealth Visits

Audience: Providers and Facilities

We are providing an update on the information we currently know related to Novel Coronavirus (COVID-19) to assist you in your day-to-day business with us. Please check our COVID-19 page and the News & Updates section regularly, as developments are evolving...

You are Invited! CareAdvance Provider® Authorization Tool WebEx

Audience: All Providers

Registration for our April 2, 2020, CareAdvance Provider training WebEx is closed. We have added the following session, which will focus on physical therapy authorizations: Tuesday, April 7, 2020 10-11 a.m. Topics: Accessing the CareAdvance...

You are Invited! CareAdvance Provider® Authorization Tool WebEx Physical Therapy Session

Audience: Physical Therapists

Registration for our April 2, 2020, CareAdvance Provider training WebEx is closed. We have added the following session: Wednesday, April 15, 2020 1-2 p.m. Topics: Accessing the CareAdvance Provider tool Authorization entry and tool...

Advanced Opioid Management Program Updates

Audience: Participating Providers

The Advanced Opioid Management Program has successfully reduced the risk of opioid abuse and misuse in the community since implementation on July 1, 2018. This program, in combination with provider vigilance of opioid prescribing has: Reduced the average day...

You are Invited! CareAdvance Provider® Authorization Tool WebEx

Audience: All providers

Are you familiar with CareAdvance Provider, our new web-based authorization tool that is available for Safety Net-related authorizations?  If not, we’re here to help!  Join us for an informational WebEx: Thursday, April 2, 2020 10-11...

Coronavirus (COVID-19) Update

Audience: Providers and Facilities

Excellus BlueCross BlueShield is closely monitoring Novel Coronavirus (COVID-19). Our top priority is the health and well-being of the members that we serve. Because the COVID-19 situation is rapidly evolving, the U.S. Centers for Disease Control and Prevention website...

2020 HIPPS Codes Required on Medicare Advantage Home Health Claims Effective as of May 1

Audience: Certified Home Care Agencies

We advise you that claims received on or after May 1, 2020 with 2020 dates of service, will require valid 2020 Health Insurance Prospective Payment System (HIPPS) codes. Use of 2020 HIPPS codes will not have any impact on reimbursement. Your current reimbursement rate...

Durable Medical Equipment (DME) Online Resources

Audience: DME Providers

Our website contains several resources that we recommend you use prior to issuing durable medical equipment to our members and submitting claims. DME Rental / Purchase Grid A DME rental vs. purchase grid is available to assist you in...

Medical Utilization Management Program Updates Effective June 1, 2020

Audience: Providers and Facilities

NOTE: Preauthorization will be added to codes for HMOBlue Option, Blue Choice Option, Premier Option, Blue Option Plus, Premier Option Plus, Child Health Plus, Premier Child Health Plus and the Essential Plan effective June 1, 2020. Additional details are included...

Web Self-Service Reminders for Outsourced Billing Agencies

Audience: Provider Office Billing Agencies

Web access is available to your billing agency so that it can check member eligibility, benefits and claim status, 24 hours a day, seven days a week.   To authorize a representative from your billing agency to access the secure area of our website to check claims...

Showing 1– 15 of 124 Results