Issue 4, 2010 Blue Care Connection® works with physicians through Physician Collaboration
Blue Care Connection has launched a collaborative effort with network physicians to close gaps in care for Blue Cross and Blue Shield of Texas members suffering from chronic conditions.
Read more. New online resource available for maternity program
Blue Cross and Blue Shield of Texas is pleased to announce an additional resource is now available for the Special Beginnings®’ program. All expectant members who have this maternity program as part of their health plan have access to a new online resource beginning in late July 2010.
Read more. Availity®’ launches CareProfile®’ hurricane awareness campaign
To prepare for the upcoming hurricane season, Availity has launched an awareness campaign to promote Availity CareProfile (ACP), an electronic health record that offers access to patient medical records in the event of a disaster, or when this information is otherwise unavailable.
Read more. Appropriate billing when a patient has reached a benefit max
Members covered under our BlueChoice, BlueChoice Solutions and HMO Blue® Texas plans may elect policies that could limit specific services to a maximum dollar amount per calendar year.
Read more. BCBSTX implements online member liability estimator
The new Availity®’ CareCost EstimatorSM helps physicians and other professional providers improve billing accuracy and efficiency for Blue Cross and Blue Shield of Texas member claims. The tool analyzes members’ primary diagnoses, procedures, benefits and contractual allowances. It then calculates the estimated out-of-pocket costs for their office and outpatient services.
Read more. Share the wealth by sharing the Blue Review newsletter
Did you know that beginning Jan. 1, 2011, Blue Cross and Blue Shield of Texas will manage behavioral health services for all non-HMO members? Or that we will accept National Drug Codes for billing of all drugs? Or that there’s a fantastic new tool that enables fast, secure access to information for patients and providers free of charge?
Read more. Check reissue request for providers
Please allow 30 days from the payment date of issue before requesting a stop pay and reissue for payment. Availity®’ allows you the opportunity to review claim status, related payment history and much more online.
Read more. Hospital room rate notification
It is imperative Blue Cross and Blue Shield of Texas has the correct room rate on file. Please notify us at least 30 days prior to the planned effective date of any room rate change.
Read more. Significant edits related to ClaimCheck®’’ denials
We’ve made significant edits regarding ClaimCheck denials. Please take a moment to read more about these important edits.
Read more. The principles of medical-record documentation
The fundamental reason for maintaining an adequate medical record should be its contribution to the high quality of medical care. Blue Cross and Blue Shield of Texas requires medical records to be maintained in a manner that is current, detailed and organized, and that permits effective and confidential patient care and quality review.
Read more. EFT, ERA and EPS: Beyond the Basics, Part 1
In June, we shared feedback from an online tutorial and survey regarding Electronic Funds Transfer (EFT), Electronic Remittance Advice (ERA) and Electronic Payment Summary (EPS). We’re presenting a three-part "EFT, ERA and EPS Beyond the Basics" article series, beginning with this month’s article, that focus on preliminary enrollment details and prerequisites.
Read more. Notices and announcements
Each issue, we publish brief notices and announcements you may need.
Read more. In every issue
BCBSTX is required to provide certain notices in all published correspondence with providers. For the latest updates, visit the “What’s New” section of the BCBSTX website at bcbstx.com/provider.
Read more. Contact us
Click here for a quick directory of contacts at BCBSTX.
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