Bulletins and FAQs
- Administrative News
- The Enhanced Referral Tool – a Useful and Time-Saving Application on Availity, April 2021
- Time to Update/Verify Your Provider Directory Profile Information, March 2021
- Risk Adjustment Medical Record Delivery Options, March 2021
- We Know You Are Looking for 2021 Fee Schedules, January 2021
- Availity Redesign Smooths Authorization Referral Process, January 2021
- Availity Gateway Update Enhances Claim Processing Experience, December 2020
- Time to Verify/Update Your Provider Directory Profile Information, December 2020
- 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
- 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
Archived Communications - Billing and Coding
- Coding and Documentation Spotlight: Social Determinants of Health (SDOH), March 2021
- Covid-19 Update: Guidelines for Vaccine Billing
- COVID-19 CPT Update, November 2020
- New Payer ID for Medicare Advantage, November 2020
- Enhanced Electronic Appeals Capability Improves Provider Experience, October 2020
- 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
- Skilled Nursing Facilities: Codes Changed October 1, 2019 for New Medicare Payment Model, October 2019
Archived Communications - BlueCard
- Care Management
- Care Managers Help Patients Navigate Difficult Times, April 2021.
- New Care Management App Connects Patients to Personalized Health Support, February 2021
- Advance Care Planning Program Expands to Include Integrated Care Delivery for Patients with Serious Illnesses, January 2021
- Care Management Supports You and Your Patients, December 2020
- New Congestive Heart Failure Care Program for Medicare Part D Premier Rx Members, December 2020
- 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
Archived Communications - Compliance
- CMS Rule Provides Consumers Access to Protected Health Information Using Mobile Applications, March 2021
- CMS Audit for Improper Med Adv Payments May Result in Medical Record Requests, March 2021
- Compliance Scores Increase in 2020 Medical Records Review, November 2020
- Review Policies for Preventing Medicare Fraud, Waste and Abuse, October 2020
- 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
Archived Communications - Federal Employee Program
- Antibiotic Awareness Week, November 2020
- 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
Archived Communications - Health Care Plans
Non-Medicare - Introducing Blue Cross and Blue Shield’s National High-Performance Network, November 2020
- SimplyBlue is Expanding to Additional Counties in 2021, November 2020
- 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
- Members Are Not Required to See Assigned PCPs in Some HMO Health Plans, May 2019
Medicare - Share HealthyBlue Rewards Brochures With Florida Blue Medicare Advantage Members Using QR Codes, February 2021
- Virtual Visits to be Standard Benefit for Florida Blue Medicare Advantage Members, December 2020
- Support Program Now Available for Medicare Advantage Members with Advanced Illnesses, November 2020
- Help Your Medicare Part D Patients Pay Less for Insulin, November 2020
- BlueMedicare Health Plans Will Expand to Additional Counties, November 2020
- New Payer ID for Medicare Advantage, November 2020
- 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
Marketplace - Special Enrollment Period for Individual Health Coverage, March 2021
- myBlue is Expanding to Additional Counties in 2021, December 2020
- How to Help Your Patients Who Ask About Marketplace Health Plans, October 2020
- Do Not Miss Out on Potential Patients By Having Wrong Address Listed, July 2020
- Don’t Exclude Marketplace Members, January 2020
- Marketplace Health Plans (myBlue, BlueCare HMO, BlueOptions, BlueSelect)
Temporary Insurance - New Health Plans Offer Temporary Insurance Options, October 2019
- Temporary Insurance Plans Quick Guide, January 2019
- Temporary Insurance
Archived Communications - Health Care Reform
- Medicare Stars
- Your Med Adv Patients' Health Care Experience Matters! Important Changes to Know, March 2021
- 2021 Medicare Advantage Provider Quality Bonus Program Information and More, February 2021
- Select Medicare Advantage Members Sent Quest In-Home Diabetic Test Kits, November 2020
- 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
Archived Communications - Member Tools and Resources
- Miscellaneous
- Natural Disasters / Hurricanes
- Pharmacy
- Tips for Submitting Pharmacy Prior Authorization Requests, March 2021
- Commercial and Other Pharmacy Program Updates, Effective April 1, 2021, February 2021
- Walgreens Is the Exclusive Pharmacy for myBlue, January 2021
- Reminder: New Processes for Specialty and Home-Delivery Prescriptions Began Jan. 1, 2021, January 2021
- Gear Up Now for 2021 Prior Authorizations: Use CoverMyMeds to Submit Retail Pharmacy Requests, December 2020
- Use Urgent Pharmacy Requests When Patients Are at Risk, December 2020
- New Drug Coupon Process Starts Jan. 1, December 2020
- Commercial and Other Pharmacy Program Updates Effective January 2021, November 2020
- New Processes for Specialty and Home-Delivery Prescriptions Start Jan. 1, 2021, November 2020
- Tool Helps You Find Comparable, Cost-effective Drugs With the Click of a Mouse, October 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
Archived Communications - Policy Updates
- Public Health / Pandemics / Community Crises
- Special Alert: Important Information on Johnson & Johnson COVID-19 Vaccine, April 2021
- COVID-19 Update, Jan. 22, 2021
- National Trend Reveals Alarming Decrease in Childhood Immunizations, January 2020
- A Message of Thanks from Shawn Trotter-Mitchell, Senior Vice President, Provider Network Solutions, Dec. 17, 2020
- COVID-19 Update, December 14, 2020
- Florida’s Largest Health Care Organizations Join Forces to Fight the Flu Press Release, Nov. 16, 2020
- COVID-19 Update, November 5, 2020
- COVID-19 Update, October 22, 2020
- Flu Prevention: Encouraging Members and Communities to Protect Themselves This Flu Season, October 2020
- COVID-19 Provider Billing Guidelines, October 20, 2020
- Good News: Florida Blue Resumes Normal Operations of Provider Contact Center, September 2020
- Care Managers Support Your Patients Recovering from COVID-19 in a Variety of Ways, September 2020
- 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 4, 2020
- COVID-19 Update, September 2, 2020
- Watch a personal Thank You message from Florida Blue President and CEO, Pat Geraghty, August 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 Temporary Changes Made for Certain Medical Record Requests Extended through June 30, June 18, 2020
- COVID-19 Temporary Changes Made for BlueCard Facility Claims Extended through June 30, June 18, 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 30, 2020
- COVID-19 Update, April 23, 2020
- COVID-19 Update, April 17, 2020
- We're Encouraging Members with Chronic Conditions to Follow Guidelines, Get the Care They Need, April 16
- 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 – Peripheral Vascular Disease, May 2021
- New HEDIS Tip Sheet: FMC, March 2021
- Your Med Adv Patients' Health Care Experience Matters! Important Changes to Know, March 2021
- Coding Newsletter – Congestive Heart Failure, April 2021
- Coding Newsletter – Chronic Kidney Disease, March 2021
- HEDIS Medicare Best Practices Guide for Providers, February 2021
- Coding Newsletter – Diabetes Mellitus, February 2021
- UPDATED: HEDIS Clinical Quality Validation FAQs, January 2021
- Important: We May Ask You for Florida Blue Patient Medical Records, January 2021
- Coding Newsletter – Annual Wellness Visit, January 2021
- End of Year HEDIS Deadlines!, December 2020
- Access Information about Quality Programs Find Policies, Programs, Articles Online, December 2020
- Coding Newsletter – Rheumatoid Arthritis, December 2020
- Coding Newsletter – Cardiac Arrhythmia, November 2020
- Antibiotic Awareness Week, November 2020
- 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
- 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
- FAQs for Using the Secure File Transfer Portal for Medicare Members' Medical Record Requests, March 2021
- Electronic Remittance Advice/835 Registration Is Moving to Availity, December 2020
- 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
- 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
- Check Eligibility and Benefits First on Availity before Calling Provider Contact Center
- Time to Update Your Profile for Our Directories, March 2020
- New Features Added to Provider Link MA Population Platform, January 2020
- Verify/Update Your Provider Directory Profile Information Now, December 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
- Attn: PCPs, New Medicare Advantage Oncology & Hematology Prior Auth Program, April 2021
- Authorization Transactions Will Be Unavailable Online During the Weekend of March 26th, March 2021
- Update: New Oncology & Hematology Prior Auth Program for Medicare Adv Members, March 2021
- Advance Care Planning Program Expands to Include Integrated Care Delivery for Patients with Serious Illnesses, January 2021
- Other Blues Plans Changing Prior Authorizations, January 2021
- New Care Program Supports Your Patients with Advanced Illnesses, December 2020
- Update: New Oncology and Hematology Prior Auth Program for Medicare Advantage Members, December 2020
- Support Program Now Available for Medicare Advantage Members with Advanced Illnesses, November 2020
- New Utilization Management Process for Muscular/Skeletal Program Effective January 1, 2021, November 2020
- New Oncology and Hematology Prior Auth Program for Medicare Advantage Members, November 2020
- FAQs for New Oncology Prior Auth Program for Medicare Advantage Members, November 2020
- 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 - Value-Based Care
- 2021 Medicare Advantage Provider Quality Bonus Program Information and More, February 2021
- Provider Link Update: Coding Opps Workflow & Care Events Calendar for Med Adv Patients, February 2021
- Provider Link Enhancements at a Glance, January 2021
- Provider Link Update: Clinical Insights for Your Med Adv Patients, December 2020
- Free Webinar: Measuring Success in Shared Risk Arrangements via Cotiviti Analytics, December 2020
- Check Out the Recent Enhancements to ProviderVista, November 2020
- Provider Link Update: Now You Can Print Member Snapshot Information, October 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
- Value-Based Alternative Payment Programs Webpage Updated, May 2020
- New Care Gap and Capitation Roster Updates in Provider Link Medicare Advantage Population Management Platform, April 2020
- Provider Portal’s New Feature Allows You to Close Patient Care Gaps, April, 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
- Coding Opportunities in ProviderVista: Why Documenting Your Patients’ Conditions Matters!, November 2019
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