Current News 2020 News Serology (antibody) Testing and COVID-19 Related Services Serology (antibody) Testing and COVID-19 Related … Medical Policy Updates (06/30/2020) Medical Policy Updates (06/30/2020) Pre-payment High Dollar Claims Reviews Update (06/29/2020) Pre-payment High Dollar Claims Reviews Update (06… Strong Password Protection Strong Password Protection New Policy: Gamma-glutamyl Transferase New Policy: Gamma-glutamyl Transferase Pre-payment High Dollar Claims Reviews Update (06/03/2020) Pre-payment High Dollar Claims Reviews Update Using the Correct Modifiers for Anesthesia Claims Using the Correct Modifiers for Anesthesia Claims FAQs for COVID-19 FAQs for COVID-19 Medical Policy Updates (5/29/2020) Medical Policy Updates Medical Policy Updates (4/30/2020) Medical Policy Updates Attention PCPs: Temporary Telehealth Expansion for Pediatric Preventive Visits Attention PCPs: Temporary Telehealth Expansion fo… Reminder: Use In-network Laboratories for COVID-19 Testing Reminder: Use In-network Laboratories for COVID-1… Pre-payment High Dollar Claims Reviews Update (04/15/2020) Pre-payment High Dollar Claims Reviews Update Medical Policy Updates (4/1/2020) Medical Policy Updates Temporary Telehealth Coverage for PT, OT and ST Temporary Telehealth Coverage for PT, OT and ST COVID-19 Billing Guidelines COVID-19 Billing Guidelines Use RadMD for Radiology Prior Authorizations Use RadMD for Radiology Prior Authorizations (165… Temporary Expansion of Reimbursement for Telehealth Services Temporary Expansion of Reimbursement for Teleheal… Coronavirus 2019 (COVID-19) Coronavirus 2019 (COVID-19) 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 2017 Archived News Laboratory Medical Policy Edits Continue 2017 Durable Medical Equipment and Lab Services for BlueEssentials and Blue Option Continue No Paper Claims Filing to BlueChoice HealthPlan Continue Screening, Brief Intervention and Referral to Treatment (SBIRT) Reminders Continue Inpatient Admission Date Continue 2017 Injectable Drug Coding Updates Continue Medical Policy Update: Flow Cytometry Continue Medicare Eligibility for Blue Essentials and Blue Option Exchange Members Continue Participating Laboratories Continue Employee Prescription Drug Program Continue Medical Record Retrieval Program Continue 2017 Update: Laboratory Medical Policy Edits Continue Where Should Your Patients Go For Their Health Care Needs? Continue Medical Policy Updates: Genetic Counseling Required Prior to Genetic Testing Continue Habilitative and Rehabilitative Services Continue Medical Record Requests for CMS Risk Adjustment Validation Program Continue Prescription Drug Changes Effective July 1, 2017 Continue Prior Authorization Requirements for Specialty Drug Medical and Pharmacy Benefits Continue Blue Cross and Blue Shield Association: Prefix Changes Continue STATchat Update Continue Specialty Drug Benefit Changes Effective Oct. 1, 2017 Continue National Drug Code (NDC) Claim Edits: Oct. 1, 2017 Continue Medical Form Resource Center: A Better Way to Request Precertification Continue Uniting Providers and Patients Continue Pharmacy Coverage for Flu Vaccines: Affordable Care Act (ACA) Members Continue What You Should Know About Yervoy – Adjuvant Therapy Continue Digital ID Cards Continue Medical Policy Updates: Intensity-Modulated Radiotherapy of the Breast and Lung Continue 2016 Archived News 2017 Mammogram Coding Updates Continue Extended Implementation Data for Laboratory Medical Policy Edits Continue Billing Rehabilitative and Habilitative Services Continue Nuclear Cardiology Continue Provider Satisfaction Survey Continue BlueChoice® HealthPlan to Exit Federal Exchange for 2017 Continue Claim Attachments Continue New Pharmacy Network Continue Avalon Healthcare Solutions: Laboratory Medical Policy Pay and Educate Alerts Continue New Payment Alert -- Application of Medical Policies for Laboratory Claims Continue National Drug Code Requirements for the Drug Rebate Program Continue Avalon: Claim Editor Continue Trigger Point Injections and Dry Needling Continue SCRIPTS Expansion Continue Reminder about Units Allowed for Reimbursement Continue Coming Soon! New Drug Requirements for Medical Pharmacy Benefits Continue Update: National Drug Code Reporting Requirements Continue Coming Soon! Magellan Healthcare and Musculoskeletal (MSK) Program Precertification Continue State Health Plan Prescription Drug Update Continue 2015 Archived News Federal Employee Program (FEP) Dental Updates Continue Rendering Provider NPI Reporting Requirement Continue National Drug Code Reporting Requirements Continue Preventive Services: Immunizations Continue BlueCross BlueShield of South Carolina and BlueChoice HealthPlan announces Avalon Healthcare Solutions as Laboratory Benefit Manager Continue Helpful Hints for Moving Your Practice to ICD-10 Compliance Continue Breast Pumps Available to Order Online Continue Prior Authorization for Durable Medical Equipment Continue Small Group Plans Reminder Continue Medical Policy Update: Allergy Immunotherapy Continue BlueCross BlueShield of South Carolina and BlueChoice Pending Network Status Continue BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina’s Provider Education to Offer Town Hall Meetings for Providers Continue Filing Guidelines for Air Ambulance Providers Continue HEDIS® Measure Focus: Treatment for Children with Upper Respiratory Infections (URIs) Continue HEDIS® Measure Focus: Testing for Children with Pharyngitis Continue BlueCross BlueShield of South Carolina and BlueChoice HealthPlan Introduce Clinical Attachments Continue Medical Record Requests Continue Health Insurance Marketplace: Changes to Dental Coverage Continue Precertification Updates Continue 2015 Coding For Radiation Oncology Continue Policy Update: CAM 50110 Immune Prophylaxis for Respiratory Syncytial Virus Continue