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Latest News

Behavioral Health Services for Children Covered by Medicaid Managed Care Effective July 1

We would like to provide you with information related to the second phase of the New York State Children’s Health and Behavioral Health Medicaid System Transformation, which will occur July 1, 2019. Excellus BlueCross BlueShield (“Health Plan”) will implement several...

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Dental Records Request Reminder

We would like to remind you to return dental records with the Medical Records Unit (MRU) request letter that we sent to you to avoid starting another claim in the system. It is also important that you do not attach the claim form when fulfilling the request for...

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Customer Care Phone Line Update

If you have recently experienced longer than normal wait times when contacting Customer Care, we thank you for your patience, and for sharing your candid feedback with us. There is a plan in place to improve efficiencies and reduce call backlogs, including the hiring...

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Dental Erisco Countdown Notice

IMPORTANT: Submit all Claims Prior to March 1, 2019 Date of Service We want to remind you that May 10, 2019 is the last day that claims will be processed on our legacy system. After May 10, 2019, claims will be utilizing an off-system process, which will cause...

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Medical Utilization Management Program Updates Effective July 1, 2019

We would like to share an overview with you regarding our standard medical Utilization Management (UM) Program updates effective for requests beginning July 1, 2019. These updates will be posted to our website, ExcellusBCBS.com, June 3, 2019. The UM Program gives the...

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Medicaid Managed Care: NYS Vaccines for Children Program Pharmacy Billing Instructions

The New York State Vaccines for Children (NYS VFC) Program is a federally-funded program that provides vaccines to eligible children at no cost. Which vaccines are covered under the NYS VFC program when billed by a pharmacy? Excellus BlueCross BlueShield vaccines...

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Electronic Claim Adjustment Request Changes

We would like to make you aware of upcoming changes to claim adjustment requests submitted electronically. Effective April 26, 2019 , Excellus BlueCross BlueShield will no longer accept electronic adjustment requests for claims that have not finalized or where...

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OrthoNet™ Peer-to-Peer Process Reminder

As you know, Excellus BlueCross BlueShield has contracted with OrthoNet, an independent company that provides specialty benefit management and other services, to help ensure billing accuracy in claims submissions. We remind you that prior to submitting a clinical...

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Valsartan Recall by Aurobindo Pharmaceuticals`

Drug manufacturer Aurobindo Pharma USA, Inc. is the latest manufacturer to conduct a voluntarily recall expansion of an angiotensin II receptor blocker (ARB) to the consumer level. This affects 38 lot numbers and 9 NDC numbers of their valsartan-containing tablets. This...

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Losartan Recall by Torrent Pharmaceuticals

Drug manufacturer Torrent Pharmaceuticals is the latest manufacturer to voluntarily recall an angiotensin II receptor blocker (ARB) to the consumer level. This currently affects 60 lots of Losartan potassium tablets USP and 54 lots of Losartan potassium/...

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Losartan Recall by Camber Pharmaceuticals

Drug manufacturer Camber Pharmaceuticals is the latest manufacturer to voluntarily recall an angiotensin II receptor blocker (ARB) to the consumer level. This currently affects 87 lot numbers and 9 NDC numbers of all strengths of losartan tablets by this manufacturer. ...

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Losartan Recall by Macleods Pharmaceuticals

Drug manufacturer Macleods Pharmaceutical Limited is the latest manufacturer to voluntarily recall an angiotensin II receptor blocker (ARB) to the consumer level. This only affects one lot and one NDC number of their Losartan-HCTZ combination tablets. There are...

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Therapeutic Injection Administrative Policy Update

Excellus BlueCross BlueShield will implement the following administrative policy update June 15, 2019, to define the coverage guidelines and billing requirements for trigger point injections and tendon sheath, ligament cyst and tarsal tunnel injections. Trigger Point...

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Administrative Policy Effective June 1, 2019 -- Inpatient Readmissions for Commercial Line of Business

Excellus BlueCross BlueShield is implementing the following policy change effective June 1, 2019, to align with those implemented by the Centers for Medicare & Medicaid Services’ (CMS) and the New York State Department of Health. The policy change applies to the...

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TransactRx Reminder Notice

Excellus BlueCross BlueShield would like to remind you that it is important to use TransactRx, an independent company offering an online tool for when billing a Medicare Part D vaccine. TransactRx is our preferred vendor for billing Medicare Part D vaccines. For your...

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Showing 1– 15 of 122 Results