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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...

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 dental...

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 of...

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 delays in...

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...

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 specific...

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...

Updated Tip Sheet and Paper Claim Submission Reminders

We updated the Tips for Completing the CMS-1500 Claim Form tip sheet on our website and have included some reminders below to help you get paper claims properly scanned and processed through our system upon receipt. Updated Tip Sheet The Tips for Completing the CMS-1500...

New CPT Codes for Applied Behavior Analysis

Each year, the American Medical Association revises CPT code sets. Coding changes impact payers and providers. We would like to make you aware of extensive changes for applied behavior analysis CPT codes effective January 1, 2019. We comply with the Health Insurance...

New Cayuga Medical Center and Schuyler Hospital Employee Tiered Medical Plan

Cayuga Medical Center and Schuyler Hospital have offered their employees an exclusive new tiered network product called Cayuga Partners Plan EPO (exclusive provider organization), effective for dates of service on or after January 1, 2019. Cayuga Partners Plan EPO...

In-Network Air Ambulance Services through LifeNet New York

We are pleased to share that we have contracted with Rocky Mountain Holdings, LLC, doing business as LifeNet New York, to provide air medical services to our members. As an in-network provider, the air medical services provided by LifeNet New York will have lower...

Medicare Advantage Hearing Aid Benefit Now Includes Group Members

We are pleased to let you know that our Medicare Advantage group plan members are now able to purchase hearing aids in-network for a copayment of $699 or $999 per aid depending on the model selected through our business arrangement with TruHearing™. TruHearing’s network...

Update to All Patient Refined Diagnosis-Related Group (APR DRG) Software for Hospitals

Excellus BlueCross BlueShield has successfully installed version 34 of the all patient refined diagnosis-related group (APR DRG) grouper software. All acute inpatient claims (excluding Medicare claims, which are processed using MS-DRGs) submitted to Excellus BCBS on or...

Irbesartan & Irbesartan/HCTZ by Solco Healthcare Recall issued

Drug manufacturer Prinston Pharmaceuticals, dba Solco Healthcare is the latest manufacturer to voluntarily recall an angiotensin II receptor blocker (ARB) to the consumer level. This affects eight (8) lot and five (5) NDC numbers of their irbesartan tablets and...

Member Benefit Check Reminders for OBGYNs

It’s always important to check member benefits and eligibility before providing service, but at the start of a new year, it’s imperative. Many members have benefit changes that start on January 1. For example, the benefit for a routine or preventive service may vary,...

Showing 121– 135 of 139 Results