Bulletins and FAQs
- Administrative News
- Appointment Access Survey Due October 22 for OB/GYNs and Oncologists, October 2018
- Appointment Access Survey Reminder for OB/GYNs and Oncologists, September 2018
- Provider Directory Verification Due, September 2018
- Appointment Access Survey for OB/GYN and Oncologists, September 2018
- Updates to Availity Gateway Improve Processing Experience, August 2018
- Availity Referral Screen Enhancement, August 2018
- Overpayment Recovery Unit Phone Line Discontinued, July 2018
- New Concurrent Review Fax Cover Sheet for Sending Medical Records, July 2018
- Availity Gateway Changes to Decrease Hold Claims, July 2018
- Concurrent Review Fax Implementation Postponed, June 2018
- Outpatient Authorization Screen Enhanced in Availity: Place of Service 12-Home, June 2018
- Provider Directory Verification Due, June 2018
- New Marketplace Health Plans Web Page - Information to Help You Help Your Patients, May 2018
- Online Training Just Got Easier, May 2018
- Availity Gateway Changes to Decrease Claim Holds, May 2018
- Accept Member ID Cards During Emergencies/National Disasters, May 2018
- Provider Manual Updates Quarter 1, March 2018
- myBlue PCP Responsibilities, Provider Manual Update, March 2018
- Your Provider Verification is Due, March 2018
- January Member Rosters Now Available in Availity, March 2018
- Publix Members and Ambulatory Surgical Centers, January 2018
- Member Eligibility Information and Quality Reporting Updates in Availity, January 2018
- Members May Receive New Member ID Cards Later Than Usual, December 2017
- Final Reminder to Verify Your Information, December 2017
- Action Required: Q4 Provider Directory Verification Due, December 2017
- Use Right Place of Service Code for Convenient Care Center Claims, November 2017
- Publix Medical Plan to Offer Musculoskeletal Management Program Starting Jan. 1, 2018, November 2017
- Enhanced Medication Therapy Management Training Available, November 2017
- HEDIS Care Gaps & Availity Gateway Update, November 2017
- OPD Verification Pre Q4 Reminder Bulletin, November 2017
- Availity Gateway Changes to Decrease Claim Holds, October 2017
- Copayments to Change for Publix Members Effective Jan. 1, 2018, October 2017
- We May Call You Regarding the Online Provider Directory, October 2017
- Important Information for Florida Blue Providers Regarding Hurricane Irma, September 2017
- Final Call to Action - Provider Directory Verification Due, September 2017
- Important Information for Florida Blue Patients Affected by Hurricane Irma, September 2017
- Action Req'd, Provider Directory Verification Due 3rd Quarter, September 2017
- Enrollment & Benefits Care Reminders in Availity, September 2017
- Update to Auth/Referrals Inquiry Screens in Availity, September 2017
- Simplifying How You Update Your Information on Record, August 2017
- Provider Data Section Now in Physicians Manual, August 2017
- Availity Gateway Changes to Decrease Claim Holds, June 2017
- CMS Audit Awareness, July 2017
- Let Us Help You, June 2017
- BlueLine Spring 2017 Issue Available, May 2017
- Outpatient Authorization Screens Enhanced in Availity for Independent Clinics, April 2017
- Cognisight will Perform Risk Adjustment Data Validation Audit, April 2017
- Is Your Provider Information Up-to-Date? Verify at Availity.com, March 2017
- Keep Your Information Up-to-Date in CAQH, March 2017
- Is Your Provider Information Up-to-Date? Verify at Availity.com, December 2016
- Availity Gateway Changes to Decrease Claim Holds, December 2016
- Referral Type of Service and Procedure Code Changes, November 2016
- Billing and Coding
- Billing with Laterality Modifiers, September 2018
- New Edits Impact Spinal Surgery Procedures, September 2018
- Webinars Now On-Demand, August 2018
- New Claim Edits Apply to Annual Wellness Visits, July 2018
- Coding Webinars and CEUs Available, May 2018
- Diabetes Coding & Documentation Guide, February 2018
- COPD Coding & Documentation Guide, February 2018
- Congestive Heart Failure Coding & Documentation Guide, February 2018
- Improper Billing for Primary Arthrodesis Code, January 2018
- NDC Requirement for Drugs Reported on Claims, Effective Nov. 1, September 2017
- ER Department Billing and Reimbursement Changes, August 2017
- Consultation Services Payment Policy, August 2017
- Frequency Code 0 Bulletin, July 2017
- New Claims Processing Edit, July 2017
- Zika Virus Resources and Coding Information, June 2017
- Billing Requirements for Drugs Reported on Professional and Institutional Claims Update, December 2016
- BlueCard
- Compliance
- Review Policies for Preventing Medicare Fraud, Waste and Abuse, September 2018
- Complete D-SNP Training by Sept. 30, 2018, September 2018
- D-SNP Provider Training Required by CMS, May 2018
- HHS Risk Adjustment Data Validation Audit, April 2018
- CMS Will Conduct a National Risk Adjustment Data Validation Audit, February 2018
- Review Policies for Preventing Medicare Fraud, Waste and Abuse, October 2017
- Federal Employee Program
- FEP Statins SPC and SUPD Provider Letter, August 2018
- FEP Breast and Cervical Cancer Screening Provider Letter, August 2018
- FEP Lower Back Pain Provider Letter, October 2018
- FEP Poster-How to Take Accurate Blood Pressure, April 2018
- Introducing a New Benefit Plan for Federal Employees, October 2018
- FEP Benefit Procedure Change for Autoimmune Infusion Drug Effective Jan. 1, 2019, August 2018
- FEP Member Benefit Clarification for 2018 Skilled Nursing Facility, March 2018
- FEP CAHPS Survey Underway: Focus on Care Coordination, May 2018
- FEP Pregnancy Care Program Rewards Expectant Moms, May 2018
- FEP Members Earn Financial Rewards by Participating In Wellness Incentive Program, May 2018
- Attn: Facilities - Federal Employee Program Claims: OBRA 1990, October 2016
- Attn: Physicians - Federal Employee Program Claims: OBRA 1990, October 2016
- Health Care Plans (non-Medicare)
- New Health Plans Offer Temporary Insurance Options, October 2018
- We Offer Consumers a Variety of HMO Plans, September 2018
- It's Time For Open Enrollment, September 2018
- Now Offering Members Convenient In-home Health Assessments via Ingenios, July 2018
- FEP Member SNF Benefit Clarification, March 2018
- Members May Receive New Member ID Cards Later Than Usual, December 2017
- PopHealthCare - New Vendor Will Help Members Improve Quality Outcomes, December 2017
- Florida Blue Offers Customers Different Types of HMO Products, November 2017
- No Authorization Required for Qualified Members of Prescribed Cologuard, October 2017
- New SimplyBlue Product Offers Affordable Health Care to Small Groups, September 2017
- SimplyBlue - New HMO Product Questions and Answers
- Health Care Plans (Medicare Advantage)
- We Offer Medicare-Eligible Consumers a Variety of Health Plans, October 2018
- BlueMedicare Health Plans Update, October 2018
- It's Time For Open Enrollment, September 2018
- Now Offering Members Convenient In-home Health Assessments via Ingenios, July 2018
- Important Reminders for Medicare Advantage HMO Primary Care Physicians and Specialists, June 2018
- SilverSneakers Fitness Program Free to Medicare Advantage BlueMedicare Members, March 2018
- Tips to Help You Get Ready for New Medicare ID Cards, March 2018
- BlueMedicare New $0 Copay for Select Care Drugs, January 2018
- PopHealthCare - New Vendor Will Help Members Improve Quality Outcomes, December 2017
- Medicare Members Will Get New Cards Next Year, November 2017
- BlueMedicare Complete - New Product for Individuals Eligible for Medicare and Medicaid, November 2017
- No Authorization Required for Qualified Members of Prescribed Cologuard, October 2017
- New Names for BlueMedicare Products in 2018, October 2017
- Colorectal Cancer Screening Kit Mailing for BlueMedicare Members, September 2017
- Delivering a Notice of Medicare Non-Coverage Form - Important Reminders, August 2017
- HealthyBlue Rewards for BlueMedicare Members, July 2017
- Members to Receive Screenings via Mobile Health Center, June 2017
- Authorization Requirement for BlueMedicare PPOs, November 2016
- New Look for BlueMedicare ID Cards in 2017, November 2016
- How We Are Changing to Better Serve Our Medicare Members November, 2016
- Medicare Providers May Not Balance Bill Qualified Medicare Beneficiaries for Medicare Cost Share Amounts, October 2016
- BlueMedicare HMO MyTime Plus Plan and BlueMedicare HMO Plus Network FAQs, October 2016
- Health Care Plans (Marketplace)
- Health Care Reform
- Medicare Stars
- HEDIS Clinical Quality Validation FAQs Update, October 2018
- Medicare Advantage Members to Receive Wellness Checklist, September 2018
- Providers with Medicare, Commercial and myBlue Patients, HEDIS Care Gaps Forms Update, September 2018
- Prompting Patients about Sensitive Issues Opens DialogueAnd May Improve Patient Satisfaction Scores, September 2018
- BlueMedicare Medicare Advantage Members and Their PCPs to be Contacted by Ingenios, July 2018
- Now Offering Members Convenient In-home Health Assessments via Ingenios, July 2018
- Quest Colorectal Cancer Screen Kits Mailed to Select Medicare Advantage Members, June 2018
- HealthyBlue Day Care Events, Summer Series: BlueMedicare Members are Invited, June 2018
- New Vision Vendor Makes It Easy for Medicare Advantage Members with Diabetes to Receive DREs, June 2018
- Use Right CPT II Codes to Show Patients' Care is Complete, June 2018
- Quest Colorectal Cancer Screening Kits Mailed to Medicare Advantage Members, May 2018
- Preventive Exams Offered in Local Communities via HealthFair Mobile Units, May 2018
- Medicare Adv Members to Receive Wellness Checklists, April 2018
- Convenient Bone Density Screening for Your BlueMedicare Patients, April 2018
- 2018 BlueMedicare Member Rewards Program: HealthyBlue Rewards, March 2018
- Stars Medication Adherence: $0 Copay Meds, March 2018
- BlueMedicare HMO & PPO Members Invited to HealthyBlue Day Care Events, March 2018
- Attn: BlueMedicare HMO & PPO Network Providers: Earn Financial Rewards for Making Better Care Possible, January 2018
- Ensuring BlueMedicare Patients' Colorectal Cancer Screening Care Gaps are Closed, November 2017
- Attn: Providers w/BlueMedicare Patients Who Have a Diabetic Retinopathy Screening Care Gap, November 2017
- Cologuard No Authorization Required Bulletin, October 2017
- Cologuard FAQs, October 2017
- Colorectal Cancer Screening Kit Mailing for BlueMedicare Members, September 2017
- Colorectal Cancer Screening Kits for BlueMedicare Members, July 2017
- Colorectal Cancer Screening (COL), May 2017
- HealthyBlue Rewards for BlueMedicare Members, July 2017
- Cologuard: An Alternative to Colonoscopy FAQs
- Convenient Bone Density Screening Options for BlueMedicare Patients, April 2017
- Cologuard Screening Now Covered for BlueMedicare Patients, February 2017
- Time Sensitive! December Bone Density Screening for BlueMedicare Patients, December 2016
- Attn: Providers with BlueMedicare HMO Patients. Earn Bonus Cash! Close Patient Care Gaps, December 2016
- Women’s Health Campaign Underway for BlueMedicare Members November, 2016
- BlueMedicare Member Outreach to Completion of Health Care Services by Year-End, November 2016
- Attn: Medicare Advantage HMO Primary Care Physicians and PPO Physicians, Outreach to Help Patients Improve Health, October 2016
- BlueMedicare Member Rewards Program, September 2016
- BlueMedicare Members Encouraged to have Colorectal and Breast Screening Exams, August 2016
- What are CMS Stars Measures? August 2016
- Med Adv Coding for First Med and Annual Wellness Visits Bulletin, July 2016
- BlueMedicare Annual Wellness Visit Outreach, June 2016
- HEDIS 2017 Medicare Stars Quick Cue Sheet, June 2016
- Attn: Providers with BlueMedicare HMO Patients. Earn Bonus Cash! Close Patient Care Gaps, December 2016
- Addressing Sensitive Topics with BlueMedicare-covered Patients, March 2016
- Attention PCPs: Comprehensive Quality & Risk Program for Florida Blue Medicare Advantage and/or Qualified Health Plan Patients, December 2015
- Attention PCPs: Urgent Notice for 2015 Year-End Medicare Advantage Patient Data Collection, December 2015
- Member Tools and Resources
- Other / Special Alerts
- Flu Prevention: Educate Patients on Importance of Vaccine, October 2018
- Important Information for Florida Blue Patients Affected by Hurricane Michael, October 2018
- Florida Blue Offers Support and Grief Counseling to Jacksonville Community, August 2018
- National Prescription Drug Take-Back Day, April 2018
- Doctor's Day 2018, March 2018
- Florida Blue Offers Support and Grief Counseling to Parkland Community, February 2018
- Flu Prevention - Getting Ahead of the Epidemic, February 2018
- Help Improve Your Experience With Florida Blue, December 2017
- Important Information for Florida Blue Providers Regarding Hurricane Irma, September 2017
- CMS Audit Awareness, July 2017
- Members to Receive Screenings via Mobile Health Center, June 2017
- 2017 Sapphire Awards and $365,000 Presented Statewide, May 2017
- Certain Members Impacted by Premium Payment Processing, May 2017
- BlueLine Spring 2017 Issue Available, May 2017
- Finding Information on Our Provider Web Pages is Now Easier, May 2017
- GuideWell Mutual Holding Corporation Acquires PopHealthCare, LLC, March 2017
- This Month Our Nation Celebrates National Doctors’ Day, March 2017
- Attention All Hospitals and Critical Access Hospitals – Medicare Outpatient Observation Notice Requirement, January 2017
- Pharmacy
- Repatha is Our New Preferred PCSK9 Inhibitor Effective October 1, 2018
- Pharmacy Updates Effective October 1, 2018
- Notice of Change to the Provider-Administered Drug Program, August 2018
- Know the Difference Between Urgent vs. Non-Urgent When Requesting Pharmacy Authorizations, August 2018
- Valsartan Drug Recall, July 2018
- Use CoverMyMeds to Submit Retail Pharmacy Requests, July 2018
- Fee Schedule Change for J Code Drugs, July 2018
- Pharmacy Programs Update Effective July 2018
- Prescribing Drugs on Formulary Saves Patients Money & Excluded Drug List with Alternatives, June 2018
- Remember to Use In-Network Specialty Pharmacies, April 2018
- Preauthorization Requirements for Suboxone Film, Suboxone and Suboxone Tablets, April 2018
- Important Reminder - Supply Limit and Preauthorization Requirements for Short-Acting Opioids, April 2018
- AllianceRx Walgreens Prime Final Name Change for Mail Order Pharmacy, March 2018
- Xtampza Replacing Oxycontin, Users Must Switch By April 1, 2018, March 2018
- Tips for Medication Coverage Exception requests, March 2018
- Pharmacy Programs Update Effective April 2018
- Tips for Provider-Administered Drugs Serviced by Magellan Rx Management, February 2018
- Benefits of Prescribing Maintenance Medications for 90 Days, January 2018
- Use CoverMyMeds to Submit Pharmacy Authorization Requests, December 2017
- Pharmacy Updates Effective January 2018
- Important Contact Information During the AllianceRX Walgreens Prime Transition, November 2017
- New Documentation Required for Prior Authorization in Provider-Administered Drugs Program Starting Jan. 1, 2018, November 2017
- OxyContin Excluded From Coverage for Non-Medicare Members Beginning January 1, 2018
- Additional Changes to Prime Specialty and PrimeMail Rx Packaging, September 2017
- Commercial and Other Pharmacy Programs Update Effective October 2017
- Important Information for Florida Blue Patients Affected by Hurricane Irma, September 2017
- Prior Authorization and Supply Limit Changes for Short-Acting Opioids, August 2017
- How to Validate Patient's Pharmacy Network in Availity, June 2017
- Changes to Specialty and Mail Order Pharmacy Packaging, July 2017
- Medications Excluded from Coverage, June 2017
- Commercial and Other Pharmacy Program Updates -- Effective July 2017, June 2017
- Xtampza ER Covered for Non-Medicare Members Starting July 1, 2017
- Viscosupplement Injections Not Covered - Important Reminder, April 2017
- New Pharmacy Network for Additional Florida Blue Members Begins July 1 and August 1, April 2017
- Commercial and Other Pharmacy Program Updates Effective April 1, 2017
- Policy Updates
- Quality / HEDIS / CAHPS
- 2018 Medical Record Review Results Now Available, October 2018
- HEDIS Clinical Quality Validation FAQs Update, October 2018
- Sign Up for Electronic Medical Records Access for Quality and Risk Adjustment, September 2018
- Providers with Medicare, Commercial and myBlue Patients, HEDIS Care Gaps Forms Update, September 2018
- Clinical Quality Validation Form Change - Queue, September 2018
- Prompting Patients about Sensitive Issues Opens DialogueAnd May Improve Patient Satisfaction Scores, September 2018
- Attn: Providers with Medicare, Commercial & myBlue Patients. HEDIS Care Gaps Forms Update, August 2018
- Clinical Quality Validation Form Update, August 2018
- HEDIS Clinical Quality Validation Form Update, July 2018
- Use Right CPT II Codes to Show Patients' Care is Complete, June 2018
- Florida Blue Receives Three-Year Renewals from Accrediting Agencies, May 2018
- QERP Updates, May 2018
- HEDIS Care Gaps Update, May 2018
- FEP CAHPS Survey Underway: Focus on Care Coordination, May 2018
- HEDIS Clinical Quality Validation FAQs Update, March 2018
- Medicare CAHPS Survey - Do your patients consider you a "10"?, February 2018
- Changes to Clinical Quality Validation and Health Risk Assessment Forms, February 2018
- ATTN: Providers of Florida Blue QHP and MA Members with Chronic Conditions, 2018 Quality Engagement Program, January 2018
- ATTN: Med Advantage, ACO & PCMH - Enhanced Quality & Efficiency Reporting Portal, December 2017
- HEDIS Care Gaps and Risk Assessment Forms Update, December 2017
- Comprehensive Quality & Risk Program On Hold Effective Jan. 1, 2018, December 2017
- HEDIS Clinical Quality Validation FAQs Update, December 2017
- HEDIS Clinical Quality Validation Form Backlog, November 2017
- Visit Our Quality Programs Webpage, November 2017
- How To Remove Blanks in Availity Work Queue
- Revenue Program Management Has Tools to Help You Address Care Gaps, October 2017
- RPM's Quality Engagement Program, September 2017
- RPM's Quality Engagement Program FAQs, September 2017
- REVISED HEDIS Care Gaps & Risk Assessment Forms Updates, September 2017
- HEDIS Clinical Quality Validation FAQs (previously Attestations), July 2017
- Colorectal Cancer Screening (COL), May 2017
- Use the Right CPT II Codes to Show Care is Complete, April 2017
- New 2017 HEDIS Care Gaps Tool, April 2017
- CAHPS Survey: How You Can Influence Your Patients’ Health Care Experience, March 2017
- HEDIS Care Gaps Form, March 2017
- CAHPS Quick Reference Guide for Physicians, March 2017
- HEDIS FAQs, January 2017
- Frequently Asked Questions: HEDIS Attestations, November 2016
- What are HEDIS, CAHP, and HOS? August 2016
- Accreditation and HEDIS Update, June 2016
- Let's Work Together to Help Your Florida Blue Patients Understand Blood Pressure, May 2016
- Self-Service Tools
- Automated Fax Cover Sheet Updated, October 2018
- Authorization Enhancement Adds New Fields in Availity, October 2018
- The ABCs of the Medical Attachment Tool, September 2018
- Referral Issue Corrected, August 2018
- Quality and Efficiency Reporting Portal in Availity Improved, July 2018
- Updates to Availity Gateway Improve Processing Experience, July 2018
- Quality and Efficiency Reporting Portal in Availity Improved, June 2018
- Medical Attachment Tool FAQs, June 2018
- Online Training Just Got Easier, May 2018
- Improvements Made to Referral Tool for PCPs Choosing Specialists for Members, May 2018
- Florida Blue Eligibility and Benefits Enhanced in Availity, March 2018
- The ABC's of our New Claim Status Tool, February 2018
- Process for Closing Care Gaps Enhanced for Value-Based Providers, February 2018
- Preservice Fax Cover Sheet Updated, February 2018
- Member Eligibility Information and Quality Reporting Updates in Availity, January 2018
- Remember to Use Availity to Request Authorizations and Referrals, January 2018
- Accessing NPIs in the New Self-Service Claim Status Tool, December 2017
- Update to Availity Authorization and Referral Screens, November 2017
- With the eCensus Tool PCPs Track Patient Events in Facilities, November 2017
- How to Use Provider Data Management Tools in Availity, September 2017
- New! Referral Tool Enhancement for PCPs Choosing Specialists for Members, September 2017
- Enrollment & Benefits Care Reminders in Availity, September 2017
- Update to Auth/Referrals Inquiry Screens in Availity, September 2017
- New eCensus Tool for PCPs to Track Patient Facility Events, August 2017
- Send Corrected Claims Electronically, July 2017
- Tips for Submitting Electronic Appeals, July 2017
- New Claim Status Tool, July 2017
- Use Availity to Get Authorizations and Referrals, May 2017
- Tips for Using Availity Fast Path Codes, January 2017
- Code Mapping Information Now Available on the PASSPORT Web Portal, February 2017
- Outpatient Authorization Screens Enhanced in Availity for Place of Service 62, March 2017
- New Fax Cover Sheet Make It Easier to Send Us Information, March 2017
- Referral Type of Service and Procedure Code Changes, November 2016
- Utilization Management and Other Programs
- New Concurrent Review Fax Cover Sheet for Sending Medical Records, July 2018
- Webinars for New Non-Emergent Cardiology Services Utilization Management Program, May 2018
- New Utilization Management Program for Non-Emergent Cardiology Services, May 2018
- Tips For Requesting Authorizations, October 2017
- RPM's Quality Engagement Program, September 2017
- Changes to Member Care Management Services, May 2017
FB PRV FAQ 001 NF 102018