Bulletins and FAQs
- Administrative News
- 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
- Improving Availity Gateway Processing Experience, December 2018
- Provider Directory Verification Due by December 31, 2018, November 2018
- New Vendor May Be Contacting You for Directory Verification, November 2018
- New Appointment and Wait Time Availability Guidelines Added to Manual for Physicians and Providers, October 2018
- Provider Directory Verification Due, 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
Archived Communications - Billing and Coding
- 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
- Take Coding Webinars for CEUs Before New Year, October 2018
- 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
Archived Communications - BlueCard
- Compliance
- 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
- Record Retention Requirement for Medicare Advantage Providers and Suppliers, June 2019
- Providers May Not Balance Bill Qualified Medicare Beneficiaries for Cost Shares, December 2018
- Complete D-SNP Training by Sept. 30, 2018, September 2018
- D-SNP Provider Training Required by CMS, May 2018
Archived Communications - Federal Employee Program
- 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 2015
- FEP Encouraging Members have Colon Cancer Screening, April 2019
- Help FEP Patients Save Money with the Advance Benefit Determination, March 2018
- 2018 FEP CAHPS Survey Results, Jan 2019
- Important Information Regarding Federal Employee Program Members Affected by Hurricane Michael, October 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
Archived Communications - Health Care Plans (non-Medicare)
- 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
- Open Enrollment Is Here, September 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
- Now Offering Members Convenient In-home Health Assessments via Ingenios, July 2018
- FEP Member SNF Benefit Clarification, March 2018
Archived Communications - Health Care Plans (Medicare Advantage)
- We're Offering Several BlueMedicare Health Plans for 2020, November 2019
- BlueMedicare Preferred HMO Not Renewed for 2020, October 2019
- Open Enrollment Is Here, September 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
- We Offer Medicare-Eligible Consumers a Variety of Health Plans, October 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
Archived Communications - Health Care Plans (Marketplace)
- Health Care Plans (Temporary Insurance)
- Health Care Reform
- Medicare Stars
- 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
- BP Assessments for Medicare Advantage Members with Prior Elevated Results, Nov 2018
- Updated: Clinical Quality Validation FAQs, November 2018
- 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
Archived Communications - Member Tools and Resources
- My Health Link Offers Personalized Online Engagement for Medicare Advantage Members, January 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
- Hepatitis A Vaccine Included in Vaccination Clinics at Florida Blue Centers, September 2019
- Online Ratings and Reviews Can Help Members Find a Doctor, August 2019
- Our Care Team Is Here to Help You and Your Patients, May 2019
- Better You Rewards Encourages Healthier Lifestyle, December 2018
- HealthyBlue Rewards for BlueMedicare Members, July 2017
- Other / Special Alerts
- 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
- Updated Information Regarding Hurricane Dorian: Normal Business Practices Resume for Commercial Lines of Business, September 2019
- Important Information for Your Florida Blue Patients Affected by Hurricane Dorian, August 2019
- Public Health Emergency Declared in State Vaccines for Hepatitis A Covered by Florida Blue, August 2019
- It's our 75th Anniversary! Thank You for Helping Make it Happen, April 2019
- Tell Us How to Improve Communications with You and be Entered for a Chance to Win a $25 Gift Card, April 2019
- Updates for Providers and Patients Affected by Hurricane Michael, December 2018
- Updated Information for Providers and Patients Affected by Hurricane Michael, November 2018
- Remind Patients It’s Not Too Late for Flu Shot, November 2018
- Important Information Regarding Federal Employee Program Members Affected by Hurricane Michael, October 2018
- Updated Information for Providers and Patients Affected by Hurricane Michael, October 2018
- 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
Archived Communications - Pharmacy
- 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
- Commercial and Other Pharmacy Program Updates, December 2018
- Use CoverMyMeds to Submit Retail Pharmacy Requests, November 2018
- Notice of Change to the Provider-Administered Drug Program, November 2018
- Urgent vs. Non-Urgent Commercial Plans Pharmacy Authorization Requests, November 2018
- 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
- Pharmacy Updates Effective January 2018
- OxyContin Excluded From Coverage for Non-Medicare Members Beginning January 1, 2018
Archived Communications - Policy Updates
- Quality / HEDIS / CAHPS
- 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
- Updated: Clinical Quality Validation FAQs, November 2018
- Visit Our Quality Programs Web Page, November 2018
- 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
Archived Communications - Self-Service Tools
- 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
- Goodbye, CareCalc. Hello, Patient Cost Estimator!, 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
- CareCalc Retires in December - Have You Tried the Patient Cost Estimator? November 2019
- PPO Rosters Now Available in the New Provider Portal, October 2019
- Patient Cost Estimator Includes National Drug Codes Oct. 21, 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
- 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
Archived Communications - Utilization Management and Other Programs
- 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
- Hip and Knee Surgery Utilization Management Program Will Expand, December 2018
- Process Added to Advanced Imaging Utilization Management Program, November 2018
- Omada Health Added to Better You Diabetes Prevention Program, November 2018
- 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
Archived Communications
FB PRV FAQ 001 NF 122019