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Special Notice
Thomas/Love Class Action Lawsuit
- http://www.bcbsphysiciansettlement.com/
Website information for Class Members about the Settlement with the Blue Cross and Blue Shield Association and certain Blue Cross and Blue Shield Plans and certain current and former subsidiaries and affiliates in the class action lawsuit known as Love, et al. v. Blue Cross and Blue Shield Association, et al.
- External Review of Billing Disputes
Effective November 21, after physicians or physician groups have exhausted our internal dispute resolution processes under the provider contract, they may submit a billing dispute through MES Solutions, an independent company contracted by us to act as an external billing dispute reviewer. This process is only available to physicians and physician groups, and applies only to disputes regarding the application of coding and payment rules and methodologies. The decision of the external reviewer is binding on both the health plan and the physician.
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Providers can stay informed of our news via two publications:
Network News
Network News is a quarterly newsletter for our network providers. Every issue contains Medical Policy Updates and information and tips on changes to processes, such as claims filing procedures or reimbursement changes, along with a number of featured articles.
Latest Issue
- 2nd Quarter 2009 [PDF]
Featured topics: New President & CEO, Step Therapy, First Fill for Free, ESI for Rx Auths, Network Lab Referrals, Urgent Care & ASC Credentialing Requirements, Availability Standards, Pass-through Billing, Zero Units on Electronic Claims, Updated CPT & HCPCS codes, CLIA Registration Required, Blue Advocacy Website, H&E Equipment through BlueCard and more...
More News
Blue News
Blue News is a quarterly newsletter e-mailed to hospital administrators covering topics of special interest to hospitals.
Latest Issue
- April 2009 [PDF]
Featured topics: Hospital & Measurement Improvement Program Update, POA Indicators, Caddo Parish School Board HMO POS, Blue Distinction Expands, Servicing Medicare Advantage Members, Hospital Compare Tool, Preparing for ICD-10, Blue Plans Promote Healthcare Reform, Blue Cross Names New CEO, New Campaign Focuses on Commitment, Blue Cross Gets 12th "A" Rating from S&P
Read other Blue News
To search for a specific topic in Network News or Blue News, enter key words on the search page.
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