The Blue Cross and Blue Shield of Nebraska board of directors has named Jeff Russell as the company’s new president and CEO, effective June 26. Read more
Providers
Alerts and Updates
Stay up-to-date on the latest. Updates serve as an amendment to your provider agreement and contractual relationship. Please file each issue below and keep it with your policies and procedures manual.
Happening Now
Stay up-to-date on the HealthRules transition and updated policies in light of the COVID-19 pandemic.
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Recent Updates
MPC April 2023 (Posted 04/27/2023)
MPC February 2023 (Posted 02/24/2023)
MPC December 2022 (Posted 12/27/2022)
MPC November 2022 (Posted 10/20/2022)
MPC August 2022 (Posted 8/26/2022)
MPC May 2022 (Posted 5/26/2022)
MPC March 2022 (Posted 4/22/2022)
MPC March 2022 (Posted 3/24/2022)
MPC November 2021 (Posted 3/7/2022)
MPC November 2021 (Posted 2/18/2022)
May 2023 Update
COVID-19 national emergency and public health emergency ending, NaviNet® Enhancements, Risk Adjustment Data Validation Audit, Mental Health Providers and Telehealth, Remicade changes and more.
March 2023 Update
No Surprises Act and Qualifying Payment Amount (QPA), Mental Health Providers and Telehealth Updates, Medicare Advantage Updates, Provider Directory Reminders and more
January 2023 Update
Annual Provider Survey updates, Medicare Advantage updates, NaviNet updates and more
November 2022 Update
Provider Directory: Make Sure that your information is correct, participating requirements, NaviNet: New enhancements are live, CLIA tests and QW modifier and more
September 2022 Update
Mandated changes coming to provider directory updates, coming this fall: new policies and procedures tool, Nebraska HeartlandBlue, NaviNet changes coming soon and more
July 2022 Update
COVID-19 Policies, Medical Policy Updates, Multiple Procedure Adjustments for Payment, Modifier 52, Professional Fee Schedule and more
May 2022 Update
New Features, COVID-19 Policies, New patient visits, Colorectal cancer screening changes, Educators Health Alliance member updates, Navinet and more
March 2022 Update
Telehealth and new place of service code effective April 1, 2022, Medical policy updates are now online, New self-service features coming soon to NaviNet and more
December 2021 Update
New on NebraskaBlue.com: More resources on coding, billing, claims and more, Amazon Pharmacy and MedsYourWay™, a new home delivery option, New diabetes solutions coming for 2022 and more
November 2021 Update
New ID cards with QR Codes, skin tag removal, Step therapy and more
September 2021 Update
Change to accreditation requirements, encourage vaccination for your pregnant patients, new out-of-network facility in Papillion, HEDIS® results for measurement year 2020 and more.
July 2021 Update
Ambulance de-credentialing, expanded requirements for genetic and molecular testing, new benefit changes for multiple sclerosis medications, documenting and coding for depression, billing for sepsis
and more.
May 2021 Update
Pharmacy update, ASC claims billing, credentialing for Licensed Medical Nutrition Therapists (LMNT), peer-to-peer calls, coding for diagnostic radiology and lab tests and more.
March 2021 Update
Save feature added to preauthorization tool, peer-to-peer reminders, medical record review, weight-related diagnosis coding and documentation, changes to oncology medication reimbursement tiers and more.
January 2021 Update
Out-of-state members and preauthorization, risk adjustment data validation audit (RADV), HEDIS medical record reviews starting, multiple surgery claims, timely filing and medically unlikely edit (MUE) denials, and intraocular lens implants.
December 2020 Update
Training for enhanced preauthorizations, facility accreditation, correcting professional claims, returned claims and more.
November 2020 Update
Happening now, COVID-19 updates, timely filing, evaluation and management codes, billing, clinical, credentialing, pharmacy and risk adjustment and risk management updates.
September 2020 Update
Coronavirus (COVID-19) updates, Happening Now, telehealth provider characteristics, Documenting Pediatric Hierarchical Condition Categories and reminders.
July 2020 Update
Coronavirus (COVID-19) updates, Happening Now, enhancements to online preauthorizations coming fall 2020, site-specific modifies and NaviNet Insider.
May 2020 Update
Coronavirus (COVID-19) updates, taxonomy required on all claims, medical claim status questions, modifier 25, immediate family members, medicare advantage prior authorization update, ASC billing invoices, bilateral procedure billing and more.
March 2020 Update
Coronavirus (COVID-19) updates, telehealth, Federal Employee Program (FEP), bilateral procedure billing, therapy policy updated, new name for centers of excellence program, NaviNet tips, 2020 HEDIS Medical Record Review and more.
January 2020 Update
Medicare Crossover Claims, Provider Characteristics-Opioid Medication Assistance, Provider Characteristic Codes, Provider Tools, NaviNet, MedPolicy Blue, Inquire About Claims Online or By Phone and more.
December 2019 Update
HealthRules, CareFirst, Virta and Type 2 Diabetes Pilot Program, Medicare Advantage Expansion, HEDIS Medical Record Reviews Begin in February 2020, FEP Hospice Benefits, FEP 2020 Blue Distinction Benefit and more.
November 2019 Update
Armor Health, Therapy Payment Policy, Opioid Epidemic and Drug Abuse: Member Lock-in Program, Patient-Driven Payment Model and more.
September 2019 Update
Site of care for medical infusions policy, carpal tunnel payment policy, Happening Now and more.
July 2019 Update
New out-of-network facility in Millard, Emergency Department Utilization, reminders and more.
May 2019 Update
A special announcement to providers, Provider Service Improvements, NICU Levels of Care No cost to adjust/reconsider claims, Taxonomy code requirement and more.
March 2019 Update
Updated Reconsideration Request and Appeal Request Forms, Chiropractors and Physical Therapy - Maintenance Therapy (Amended), and more.
January 2019 Update
Claim Return Letters, Seven-day limit for opioid drugs, Peer-to-peer phone calls, Mark your calendar, Collaborative support for patients with diabetes, and more.
November 2018 Update
Hyaluronic acid injections products, high dollar review, mental health coverage, school place of service, BlueCard Bulletin, BCBSNE and FEP transition to new platforms, health fairs, FEP Blue Focus and more.
September 2018 Update
Sildenafil, reimbursement policies, colorectal cancer screenings, Fall provider conference, preauthorization requests, chiropractor and physical therapy, medicare record submissions and more.
July 2018 Update
Provider Executives, risk adjustment data validation, Bi-Partisan Budget Act, Preauthorization for Medicare Advantage and more.
May 2018 Update
Regional provider conference, pharmacy changes, policies and procedure updates, med policy blue, blueprint health, CMS mass adjustments, modifier -90 and more.
March 2018 Update
New CEO, walk at lunch, medical record retrieval, blue distinction for fertility care, RADV audit, late charges and replacement claims, change of address, appeal requests, mid-level reimbursement and more.
January 2018 Update
Alpha-numeric prefixes, testicular hypofunction, teleservices, FEP change, Gold Card Provider Program, mobile enhance maternity care program and more.
FEP Dental Schedule - Effective Jan. 01, 2023
Dental Update - Fall 2022
NaviNet, Fee Schedules, Mandated Changes Coming to Provider Directory Updates and more
Medicare Advantage Newsletter - August 2022
Medicare Advantage Newsletter - June 2022
Medicare Advantage Newsletter - April 2022
Medicare Advantage Newsletter - February 2022
Medicare Advantage Newsletter - December 2021
Medicare Advantage Newsletter - October 2021
Medicare Advantage Newsletter - August 2021
Medicare Advantage Newsletter - June 2021
Medicare Advantage Newsletter - April 2021
Medicare Advantage Newsletter - February 2021
Medicare Advantage Newsletter - December 2020
Medicare Advantage Newsletter - October 2020
Medicare Advantage Newsletter - August 2020
Medicare Advantage Newsletter - June 2020
Medicare Advantage Newsletter - April 2020
Medicare Advantage Newsletter - February 2020
Medicare Advantage Newsletter - December 2019
Medicare Advantage Newsletter - October 2019
Medicare Advantage Newsletter - August 2019
Medicare Advantage Newsletter - June 2019
Medicare Advantage Newsletter - April 2019
Medicare Advantage Newsletter - February 2019
Medicare Advantage Newsletter - December 2018
Medicare Advantage Newsletter - October 2018
Medicare Advantage Newsletter - August 2018
Medicare Advantage Newsletter - June 2018
Medicare Advantage Newsletter - April 2018
Medicare Advantage Newsletter - February 2018
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