Current News 2022 News COVID-19: Prior Authorization Requirements COVID-19: Prior Authorization Requirements 2021 News Avalon Policy Number Updates Avalon Policy Number Updates Medical Policy Updates (01/29/2021) Medical Policy Updates COVID-19: Billing Guidelines COVID-19: Billing Guidelines COVID-19: Vaccine COVID-19: Vaccine COVID-19: Telehealth COVID-19: Telehealth COVID-19: High Dollar Pre-payment Reviews (HDPR) COVID-19: High Dollar Pre-payment Reviews (HDPR) Medical Policy Updates (02/26/2021) Medical Policy Updates (02/26/2021) Medical Policy Updates (03/31/2021) Medical Policy Updates (03/31/2021) Telehealth Updates Telehealth Updates High Dollar Pre-payment Review (HDPR): CARC 216, RARC N183 High Dollar Pre-payment Review (HDPR): CARC 216, … New Medical Policy: Cluneal Nerve Block for Treatment of Low Back Pain New Medical Policy: Cluneal Nerve Block for Treat… Coming Soon: RadMD® Enhancements Coming Soon: RadMD® Enhancements Medical Policy Updates (04/30/2021) Medical Policy Updates (04/30/2021) Medical Policy Updates (05/28/2021) Medical Policy Updates (05/28/2021) New Preferred Drugs New Preferred Drugs Reminder: Telehealth Enrollment Reminder: Telehealth Enrollment Medical Policy Updates (06/29/2021) Medical Policy Updates (06/29/2021) Authorization Enhancements in My Insurance Manager Authorization Enhancements in MIM Refund Letters Now Available in My Insurance Manager℠ Refund Letters Now Available in My Insurance Mana… Medical Policy Updates (07/27/2021) Medical Policy Updates (07/27/2021) 90-Day Provider Validation Requirements 90-Day Provider Validation Requirements Reminder: Corrected Claims Reminder: Corrected Claims Accident Questionnaires Accident Questionnaires Care Management: COVID Discharge Process Care Management: COVID Discharge Process Medical Policy Updates (08/31/2021) Medical Policy Updates (08/31/2021) Important Notice: Ivermectin Important Notice: Ivermectin Reminder: Laboratory Services Reminder: Laboratory Services Medical Policy Updates (09/30/2021) Medical Policy Updates (09/30/2021) Self-Administered Block Medication Update Self-Administered Block Medication Update Medical Policy Updates (10/29/2021) Medical Policy Updates (10/29/2021) COVID-19 Vaccine, Ages 5-11 COVID-19 Vaccine, Ages 5-11 Reminder: Proper Use of Modifiers Reminder: Proper Use of Modifiers COVID-19: U0005 Reimbursement COVID-19: U0005 Reimbursement RadMD Enhancements: Updating Diagnosis Codes RadMD Enhancement: Updating Diagnosis Codes Understanding ClaimsXten Understanding ClaimsXten COVID-19 Vaccine, Booster Shots COVID-19 Vaccine, Booster Shots Medical Policy Updates (11/30/2021) Medical Policy Updates (11/30/2021) Medical Policy Updates (12/30/2021) Medical Policy Updates (12/30/2021) 2020 News Medical Policy Updates (12/30/2020) Medical Policy Updates (12/30/2020) Reminder: Genetic Counseling Required Prior to Genetic Testing Reminder: Genetic Counseling Required Prior to Ge… Medical Policy Updates (11/30/2020) Medical Policy Updates (11/30/2020) Medical Policy Updates (10/30/2020) Medical Policy Updates (10/30/2020) UPDATE: CR Modifier UPDATE: CR Modifier New Medical Policy: Minimal Residual Disease New Medical Policy: Minimal Residual Disease Medical Policy Updates (09/30/2020) Medical Policy Updates (09/30/2020) My Health Planner — A Digital Medical Management App Connecting Patients to Care My Health Planner - A Digital Medical Management … Medical Policy Updates (08/31/2020) Medical Policy Updates (08/31/2020) Medical Policy Updates (07/30/2020) Medical Policy Updates (07/30/2020) Medical Policy Updates (06/30/2020) Medical Policy Updates (06/30/2020) Strong Password Protection Strong Password Protection New Policy: Gamma-glutamyl Transferase New Policy: Gamma-glutamyl Transferase Using the Correct Modifiers for Anesthesia Claims Using the Correct Modifiers for Anesthesia Claims Medical Policy Updates (5/29/2020) Medical Policy Updates Medical Policy Updates (4/30/2020) Medical Policy Updates Reminder: Use In-network Laboratories for COVID-19 Testing Reminder: Use In-network Laboratories for COVID-1… Medical Policy Updates (4/1/2020) Medical Policy Updates Use RadMD for Radiology Prior Authorizations Use RadMD for Radiology Prior Authorizations (165… Prior Authorizations for MUGA Scan and Myocardial Perfusion Imaging Prior Authorizations for MUGA Scan and Myocardial… 2019 News A New Way to Manage Prescription and Medical Specialty Drugs Continue Monthly Care Opportunity Reports Continue Urgent Notice For Podiatrists Regarding Foot Soak Prescription Medications Continue HEDIS: Supplying Discharge Summaries Continue Important Member Identification (ID) Card Information Continue Policy Revision Notice: CAM 009 – Allergy Immunotherapy Continue Casting and Splint Supplies Continue Medical Record Requests for Centers for Medicare & Medicaid Services (CMS) Audit Continue Warning to Providers Regarding Fraudulent Prescription Scam Continue Update to Claims Logic: CAM 20406 Testing for Diagnosis of Helicobacter Pylori Continue New Medical Policy: Parathyroid Hormone, Phosphorus, Calcium and Magnesium Testing New Medical Policy: Parathyroid Hormone, Phosphor… Update to Claims Logic: Rapid Antigen Diagnostic Testing (RADT) for Streptococcal Infection Continue Medical Policy Updates- 3/1/19 Continue Medical Policy Updates- 2/12/19 Continue Precertification Changes Continue ClaimsXten Implementation: March 2, 2019 Continue Medical Policy Updates- 1/22/19 Continue 2018 News Provider Enrollment Process Enhancements Continue Claim Edits 251 and B57 Continue High Dollar Claim Reviews Continue Credentialing and Provider File Update Status Requests Continue New Medical Policy: Urine Culture Testing for Bacteria Continue New Medical Policy: Alcohol Injections for the Treatment of Peripheral Neuromas Continue New Medical Policy: General Inflammation Testing Continue August 2018 Medical Policy Updates Continue New Medical Policy: Folate Testing Continue July 2018 Medical Policy Updates July 2018 Medical Policy Updates Centers for Medicare & Medicaid Services (CMS) Audit Centers for Medicare & Medicaid Services (CMS) Au… Referrals for BlueChoice HealthPlan Members Referrals for BlueChoice HealthPlan Members New Medical Policy: Pancreatic Enzyme Testing for Acute Pancreatitis New Medical Policy: Pancreatic Enzyme Testing for… Aimovig: A New Prescription Drug for Migraines Continue Claim Numbers with Blank Spaces Continue SC Providers Could See Record Requests from Inovalon Continue June 2018 Medical Policy Updates Continue Medical Policy Update — Cardiac Biomakers for Myocardial Infarction Continue Pharmacy: New Review Process for Prescription Drugs Korlym and Xyrem Continue BlueCross BlueShield of South Carolina, BlueChoice HealthPlan’s May 2018 Medical Policy Updates Continue BlueCross Announces ClaimsXten Upgrade for 2019 Continue BlueCross, BlueChoice HealthPlan’s April 2018 Medical Policy Updates Continue Ameritox, Ltd.: Network Update Continue Opioid Management Program Effective April 1, 2018 Continue Additional Prescription Drug Information The Quantity Management Program Continue $0 Covered Drug List Continue Mail-Order Drug Benefit Continue The Step Therapy Program Continue Specialty Drugs Continue Prior Authorization Continue My Health Toolkit Continue Medication Adherence Program Continue Additional Prescription Drug Information The Quantity Management Program Continue $0 Covered Drug List Continue Mail-Order Drug Benefit Continue The Step Therapy Program Continue Specialty Drugs Continue Prior Authorization Continue My Health Toolkit Continue Medication Adherence Program Continue Additional Prescription Drug Information The Quantity Management Program Continue $0 Covered Drug List Continue Mail-Order Drug Benefit Continue The Step Therapy Program Continue Specialty Drugs Continue Prior Authorization Continue My Health Toolkit Continue Medication Adherence Program Continue