Bulletins and FAQs
- Administrative News
- Good News: Florida Blue Resumes Normal Operations of Provider Contact Center, September 2020
- Verify/Update Your Provider Directory Profile Information Now, September 2020
- Important Reminders about Contacting Medicare Advantage Pre-certification Department, August 2020
- Electronic Medical Records System Streamlines and Reduces Your Efforts for RADV and Quality Audit, August 2020
- Enhanced Referral and Medical Attachment Tools in Availity Save Time, August 2020
- Advance Directives and Living Wills: A Medical Record Necessity, July 2020
- D-SNP Basic Training for Medicare Advantage HMO Providers, July 2020
- Value-Based Alternative Payment Programs Webpage Updated, May 2020
- Please Refer Members to Quest Diagnostics for Lab Services, April 2020
- Time to Update Your Profile for Our Directories, March 2020
- You’ll Hear Soon from LexisNexis Risk Solutions About Your CMS Attestation, February 2020
- Telephonic Provider Data Verification Is Underway, January 2020
- Time is Almost Out for OB-GYN - Oncology Provider Survey, January 2020
- Reminder to Complete OB/GYN and Oncology Provider Appointment-Access Survey, January 2020
- Physician Service Locations Now Limited to Four in Online Directory, January 2020
- Appointment-Access Survey for OB/GYNs and Oncologists, January 2020
- Your Florida Blue Call Experience Matters! December 2019
- Verify/Update Your Provider Directory Profile Information Now, December 2019
- We're Streamlining Overpayments for You, November 2019
- Improved Provider Manual to Launch in November, October 2019
- Enhanced Fax Automation Capability Improves Processing Experience, October 2019
- New Phone Number for Care Management, October 2019
- How Do You Prefer to Send Your Patient Medical Records? October 2019
- Time to Update/Verify Your Provider Profile Information, September 2019
- Use Availity for Authorizations and Referrals While We Upgrade our System July – August 2019, July 2019
- New Fax Nos. for Preservice Authorizations and Concurrent Reviews, June 2019
- Time to Update/Verify Your Provider Profile Information, June 2019
- Accept the Member ID Card if an Emergency/National Disaster Occurs, May 2019
- Authorization/Referral Inquiry Enhancement and Best Practices, May 2019
- Authorization Requests for Outpatient Neuropsych Evaluations Can Now Be Submitted Through Availity, May 2019
- CMS Contract-Level RADV Audit for 2013 Medicare Advantage, March 2019
- Join Us in Celebrating YOU on National Doctor's Day, March 2019
- Get Paid Faster with Electronic Funds Transfer, March 2019
- Time to Verify/Update Your Provider Profile Information, March 2019
- Chart Procurement: Select An Option Today, February 2019
- Referrals Not Always Needed, February 2019
- Instructions to Updating Your Email in Availity, February 2019
- CMS Medicare Advantage Audit: Medical Record Requests Anticipated, February 2019
- Increase Productivity with Medical Attachments, February 2019
- Publix Members Now Have ABA Therapy Benefits, January 2019
Archived Communications - Billing and Coding
- Home Health Billing Guidelines for Trad'l Medicare & Non-Par Providers in Med Adv, September 2020
- Attention Coders: Earn Credits with Our Free On-Demand Webinars, September 2020
- Submitting Supplemental and Additional Diagnoses, June 2020
- Submitting Supplemental and Additional Diagnoses, June 2020
- Medicare Advantage 2020 Documentation and Coding Guide, May 2020
- Updates to CPT II Codes for A1c and DRE, January 2020
- Skilled Nursing Facilities: Codes Changed October 1, 2019 for New Medicare Payment Model, October 2019
- Coding Webinars Available for CEUs, June 2019
Archived Communications - BlueCard
- Care Management
- Care Managers Support Your Patients Recovering from COVID-19 in a Variety of Ways, September 2020
- Care Management Support Now More Important than Ever, July, 2020
- We're Encouraging Members with Chronic Conditions to Follow Guidelines, Get the Care They Need, April 2020
- When Your Patients Need Some Extra Support, Care Management Can Help, December 2019
- Care Management Program Provides Additional Support to Your Patients, September 2019
- Our Care Team Is Here to Help You and Your Patients, May 2019
Archived Communications - Compliance
- CMS Requires Providers and Suppliers to Retain Medicare Advantage Records for 10 Years, June 2020
- CMS Conducts Audit to Identify Medicare Advantage Overpayments, February 2020
- CMS Conducts Risk Adjustment Data Validation Audit, January 2020
- Review Policies for Preventing Medicare Fraud, Waste and Abuse, November 2019
- HHS Risk Adjustment Data Validation Audit, July 2019
Archived Communications - Federal Employee Program
- How to Request an Advance Benefit Determination, September 2020
- Want More Happy, Healthy & Productive FEP Patients? February 2020
- FEP Members Enjoy Telehealth Benefit, February 2020
- New Diabetes Benefit with FEP Standard and Basic Plans, December 2019
- 2019 CAHPS Survey Results, November 2019
- FEP Member Outreach for Breast and Cervical Cancer Screening, October 2019
- Antibiotics Awareness Week is Next Month, October 2019
- Federal Employee Program Member Wellness Campaigns Underway, October 2019
- Educating Members on Flu Shot, Well-Child Exam, and ER Visits, August 2019
- Federal Employee Program Annual Well Woman Exam Member Outreach, August 2019
- FEP: Prenatal & Postpartum Care Medical Record Rev Underway, June 2019
- Member Outreach for Breast and Cervical Cancer Screens, May 2019
- FEP Encouraging Members have Colon Cancer Screening, April 2019
- Help FEP Patients Save Money with the Advance Benefit Determination, March 2019
- 2018 FEP CAHPS Survey Results, Jan 2019
Archived Communications - Health Care Plans (non-Medicare)
- Open Enrollment for Individuals and Families Starts Soon, September 2020
- Telehealth and In-Home Health Assessments Are Available at No Additional Cost to Eligible Florida Blue Commercial Member, August 2020
- myBlue HMO Offered in Additional Counties, November 2019
- SimplyBlue HMO Offered in Additional Counties, November 2019
- In-Home, No-Cost Health Assessments Offered to Eligible Florida Blue Commercial Members, October 2019
- What’s in a Name? A Lot When it Comes to BlueSelect, July 2019
- Members Are Not Required to See Assigned PCPs in Some HMO Health Plans, May 2019
Archived Communications - Health Care Plans (Medicare Advantage)
- Open Enrollment for Individuals and Families Starts Soon, September 2020
- Important Reminders about Contacting Medicare Advantage Pre-certification Department, August 2020
- New Utilization Management Process for Muscular/Skeletal Program Effective January 1, 2021, August 2020
- Shared Decision-Making Program Focuses on Improving Members’ Health Experience, August 2020
- D-SNP Basic Training for Medicare Advantage HMO Providers, July 2020
- Medicare Advantage 2020 Documentation and Coding Guide, May 2020
- My Health Link Online Member Account, May 2020
- Medicare Advantage and Medicare Supplement Reminders At-A-Glance, February 2020
- We're Offering Several BlueMedicare Health Plans for 2020, November 2019
- BlueMedicare Preferred HMO Not Renewed for 2020, October 2019
- Florida Blue Medicare Expands to Serve The Villages, August 2019
- Attn: BlueMedicare Complete HMO Providers - DSNP Training Due by End of Sept, July 2019
- SilverSneakers Can Help Members Live Life to the Fullest, July 2019
- Health Assessments Offered to BlueMedicare Members, May 2019
Archived Communications - Health Care Plans (Marketplace)
- Health Care Plans (Temporary Insurance)
- Health Care Reform
- Medicare Stars
- CAHPS & HOS: Your Patients' Experience Matters More than Ever, August 2020
- CPT II Codes to Close Select Care Gaps, July 2020
- iCare Simplifies Diabetic Retinal Exams for Medicare Advantage Members, July 2020
- Annual Wellness Visit Promotes Preventive Care for Medicare Advantage Patients, February 2020
- Updates to CPT II Codes for A1c and DRE, January 2020
- Attn: Medicare Advantage Providers, Key Dates to Ensure 2019 Care Gap Closures are Documented, December 2019
- Thank You for Helping Us Maintain a Five-Star Rating! October 2019
- Personalized Health Checklist for Medicare Advantage Members, September 2019
- Important Information About Quest FIT Kit Lab Resultsfor Select Medicare Advantage Members, September 2019
- Encouraging BlueMedicare Female Members for Mammograms, July 2019
- CPT II Codes Needed for Hypertension Care & Hemoglobin A1c Tests, July 2019
- Important Information Re: Quest FIT Kit Results for Select Medicare Advantage Members, June 2019
- PCP Deadline to Join Med Adv Bonus Program is Near! May 2019
- FIT Kits Sent to Medicare Advantage Members, May 2019
- Medicare Advantage Members to Receive Personalized Health Checklist, March 2019
Archived Communications - Member Tools and Resources
- Miscellaneous
- Natural Disasters / Hurricanes
- Pharmacy
- New Drug Coupon Process Starts Jan. 1, September 2020
- Commercial and Other Pharmacy Program Updates Effective October 2020, August 2020
- Five Tips to Avoid Delays When Requesting Commercial Pharmacy Prior Authorizations, August 2020
- Help Your Patients Find Comparable, Cost-effective Drugs with the Click of a Mouse, July 2020
- Remember to Use In-Network Specialty Pharmacies, June 2020
- Commercial and Other Pharmacy Program Updates Effective July 2020, June 2020
- Faxing Pharmacy Prior Authorization Requests? Make Sure You’re Using Current Forms, May 2020
- Commercial and Other Pharmacy Program Updates, February 2020
- Biosimilars Required for Select Medications for Non-Medicare Plans, March 2020
- January 1, 2020 Time Frame Changes for Medicare Part B Preservice Reviews and Organization Determinations, December 2019
- Commercial and Other Pharmacy Program Updates Effective January 2020, December 2019
- Use CoverMyMeds to Submit Retail Pharmacy Requests, December 2019
- Effective January 1, 2020 for ACA Plans New Lower-Cost Option for Medications Administered by Providers, November 2019
- Reminder: Site of Care Review for Select Non-Oncology Physician-Administered Drugs Begins November 11, 2019, November 2019
- Manufacturer Recalls Natpara, September 2019
- Commercial and Other Pharmacy Updates Effective October 2019, September 2019
- Physician-Administered Drug Program Expanding in November, September 2019
- Use Urgent Pharmacy Requests When Patients Are at Risk, August 2019
- BlueMedicare Patients Have Additional Option For Their Diabetes Supplies, June 2019
- Commercial and Other Pharmacy Program Updates Effective July 2019, May 2019
- Patients Now Receive Notifications When Prior Authorization Medications Set to Expire, May 2019
- Step Therapy Will Apply to Medicare Advantage Health Plans, May 2019
- Important ePrescribing Information for AllianceRx Walgreens Prime, April 2019
- National Prescription Drug Take-Back Day April 27, April 2019
- Having Trouble with Patient Adherence to Metformin? Here are a Few Tips, April 2019
- Received a Denial from Prime Therapeutics? Here are Tips to Reduce the Likelihood of that Happening, March 2019
- Administering Drugs in your Office or Outpatient Setting? Tips for Commercial Members, March 2019
- Pharmacy Programs Update Effective April 2019
- Notice of Change to the Physician-Administered Drug Program, January 2019
- New Opioid Overutilization Policies for Medicare Drug Plans Begin January 1, 2019
Archived Communications - Policy Updates
- Public Health / Pandemics / Community Crises
- Flu Prevention: We Are Educating Members on Why the Vaccine Is More Important Than Ever, September, 2020
- COVID-19 Update, September 11, 2020
- COVID-19 Update, September 2, 2020
- We Are Encouraging Our Members to Tell Their Doctor If They Test Positive for COVID-19, August, 2020
- COVID-19 Update, August 27, 2020
- COVID-19 Provider Billing Guidelines, August 27, 2020
- COVID-19 Update, August 13, 2020
- COVID-19 Provider Billing Guidelines, Now Updated
- COVID-19 Update, July 30, 2020
- New Neurologic Symptoms and Mental Health Conditions May Impact COVID-19 Outcomes, July 29, 2020
- COVID-19 Updates as of July 8, 2020, Florida State of Emergency extended through Sept. 5, 2020.
- Helping You Get Patient Care Back on Track, July 23, 2020
- COVID-19 Provider Billing Guidelines, July 20, 2020
- COVID-19 Update, July 17, 2020
- COVID-19 Provider Billing Guidelines, July 15, 2020
- COVID-19 Update, July 13, 2020
- COVID-19 Update, July 8, 2020
- COVID-19 Update, July 2, 2020
- COVID-19 Update, June 25, 2020
- COVID-19 Update, June 18, 2020
- COVID-19 Update, June 4, 2020
- COVID-19 Update, May 28, 2020
- Care Management Helps Your Patients at High Risk for COVID-19 Stay Healthy and Provides Support to Those Recovering, May 2020
- COVID-19 Update, May 14, 2020
- COVID-19 Temporary Changes Made for Certain Medical Record Requests Extended through May 31, May 1, 2020
- COVID-19 Provider Billing Guidelines, May 14, 2020
- COVID-19 Temporary Changes Made for BlueCard Facility Claims Extended through May 3, May 1, 2020
- COVID-19 Update, April 23, 2020
- COVID-19 Update, April 17, 2020
- We're Warning Members About COVID-19 Scams, April 2020
- COVID-19 Update, April 10, 2020
- Temporary Changes Made for BlueCard Host Facility Claims, April 9, 2020
- COVID-19 Update, April 8, 2020
- COVID-19 Update, April 3, 2020
- COVID-19 Update, March 31, 2020
- COVID-19 Update - Temporary Changes Made for Certain Medical Record Requests, March 30, 2020
- COVID-19 Update, March 27, 2020
- COVID-19 Update - Florida Blue Transitions Claim Inquiries to Availity Self Service to Prioritize Critical Calls during COVID-19, March 25, 2020
- COVID-19 Update, March 20, 2020
- National Doctors Day is March 30, March 2020
- COVID-19 Update, March 17, 2020
- COVID-19 Access to Health Care Services, March 11, 2020
- CDC Info Helps You Understand and Treat COVID-19, March 4, 2020
- Flu Season Revs Up Remind Patients It’s Not Too Late for Flu Shot, November 2019
- Remind Patients to Get Their Flu Shots, October 2019
- Public Health Emergency Declared in State Vaccines for Hepatitis A Covered by Florida Blue, August 2019
Archived Communications - Quality / HEDIS / CAHPS
- Coding Newsletter – Cancers and Neoplasms, October 2020
- Coding CEUs Flyer, September 2020
- Coding Newsletter - Chronic Kidney Disease, September 2020
- CAHPS & HOS: Your Patients' Experience Matters More than Ever, August 2020
- Coding Newsletter – Major Depression, Major Depressive Disorder, August 2020
- Advance Directives and Living Wills: A Medical Record Necessity, July 2020
- Coding Newsletter - Amputations, Artificial Openings and Transplants, July 2020
- HEDIS Measures Updated: Appropriate Testing for Pharyngitis (CWP) and Appropriate Treatment for Upper Respiratory Infection (URI), June 2020
- Coding Newsletter - Diabetes Mellitus, June 2020
- Medicare Advantage 2020 Documentation and Coding Guide, May 2020
- Coding Newsletter - Documentation Tips for Prevalent Conditions, May 2020
- Coding Newsletter - Annual Wellness Visit, April 2020
- Updates to CPT II Codes for A1c and DRE, January 2020
- Want All Your MA Patients to be Happy, Healthy and Productive? January 2020
- Time for Annual HEDIS Chart Reviews, January 2020
- Learn about our Quality Program on floridablue.com, December 2019
- Clinical Validation Form Now Includes Care For Older Adults HEDIS Measure, December 2019
- 2019 Medical Record Review Results Now Available Score Increases Slightly from 2018
- Updated: HEDIS Measure for Lower Back Pain, July 2019
- Advance Directives and Living Wills: A Medical Record Necessity, January 2019
- Medical Record Requests Forthcoming for HEDIS Review, January 2019
Archived Communications - Self-Service Tools
- Enhanced Patient Cost Estimator Looks the Same But Offers a Better Experience, September 2020
- Verify/Update Your Provider Directory Profile Information Now, September 2020
- eCensus Retires September 2 Patient Census Now Available in Provider Portal, July 2020
- New Member Snapshot Function and More Updates Now Available in Provider Link, July 2020
- New Financials Feature Now Available in Provider Portal Platforms: ProviderVista and Provider Link, June 2020
- We’re Having a Freeze! Availity Provider Data Management Capabilities Unavailable June 24-July 12, May 2020
- New Availity Processing Improvements Help Decrease Claim Holds, May 2020
- New Care Gap and Capitation Roster Updates in Provider Link Medicare Advantage Population Management Platform, April 2020
- Check Eligibility and Benefits First on Availity before Calling Provider Contact Center
- Provider Portal’s New Feature Allows You to Close Patient Care Gaps, April, 2020
- Time to Update Your Profile for Our Directories, March 2020
- Latest Provider Link MA Population Platform Updates: DSNP and New Member Filters, March 2020
- New Features in Provider Link Give You More Patient Information, February 2020
- ProviderVista’s Latest Feature Offers More Comprehensive Picture of Your Patients, January 2020
- New Features Added to Provider Link MA Population Platform, January 2020
- Verify/Update Your Provider Directory Profile Information Now, December 2019
- Coding Opportunities in ProviderVista: Why Documenting Your Patients’ Conditions Matters!, November 2019
- New Features Added to Florida Blue Medicare Provider Platform, November 2019
- PPO Rosters Now Available in the New Provider Portal, October 2019
- It's Arrived! Your New Florida Blue Medicare Platform, October 1, October 2019
- Availity Gateway Updates Improve Processing Experience, September 2019
- Coming Soon - Florida Blue Medicare Advantage Patient Insights in New Platform, September 2019
- BlueExpress Phone Line to be Retired, August 2019
- Online Behavioral Health Toolkit Now Available for Primary Care Providers, July 2019
- Great News for the Availity Eligibility and Benefits Tool, July 2019
- Time to Update/Verify Your Provider Profile Information, June 2019
- Authorization Requests for Outpatient Neuropsych Evaluations Can Now Be Submitted Through Availity, May 2019
- CareCalc Transitions to Patient Cost Estimator, May 2019
- Enroll in Upcoming Medical Attachment Tool Webinars, April 2019
- ProviderVista Is Here!, March 2019
- Start Using Availity’s New Claims Status Tool Today - Better Claim Search Results Now Available, February 2019
- Coming Soon: ProviderVista - A New Online Experience Giving You Critical and Timely Patient Insights
- CareCalc Transitions to Patient Cost Estimator, February 2019
- Increase Productivity with Medical Attachments, February 2019
- New Availity Claims Status Tool Coming in February, January 2019
- Patient Cost Estimator is Replacing CareCalc in Availity Portal, January 2019
Archived Communications - Utilization Management and Other Programs
- Important Reminders about Contacting Medicare Advantage Pre-certification Department, August 2020
- New on Availity – Easy Updates to Place of Service for Outpatient Authorizations, August 2020
- Telehealth and In-Home Health Assessments Are Available at No Additional Cost to Eligible Florida Blue Commercial Member, August 2020
- Temporary Changes in Effect for NIA Magellan Prior Authorization Processes, April 2020
- New Support Program Available for Commercial Members with Advanced Illnesses, April 2020
- Tips for Authorization Requests, March 2020
- CareCentrix to Manage Home Sleep Program for Florida Blue Medicare Advantage Members, September 2019
- American Specialty Health Group to Manage Most Chiropractic Services Starting October 1, 2019
- Skilled Nursing Facility Level of Care Review, June 2019
- Availability of Our Precertification Department Will Change, March 2019
- Hip and Knee Surgery Utilization Management Program Expands March 1, January 2019
- New Name for Sleep Study Utilization Management Vendor, January 2019
Archived Communications
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