Blue Review

Blue Cross Blue Shield of Oklahoma
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Blue Review

For Providers

April 2025

 

APRIL SPOTLIGHT

Welcome to Cigna Healthcare® Medicare Advantage‑Contracted Providers

Our acquisition of Cigna Healthcare’s Medicare Advantage business is finalized. We are pleased to partner with providers to support members’ care and are committed to a smooth transition. No changes to member benefits will happen in 2025. Learn more about the acquisition and what it means for you.

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BEHAVIORAL HEALTH

Quality Measures Track Treatment and Follow‑Up Visits for Substance Use Disorders

You can play an important role in members’ care by discussing the signs of substance use disorders and encouraging getting help, if appropriate. Review tips to close care gaps.

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CLAIMS AND ELIGIBILITY

Update Your Records with New Member ID Numbers

Newly enrolled members or members who have new benefit plans may have new ID numbers. Learn why it’s important to use the entire ID number, including the three‑character prefix, when checking eligibility and benefits and submitting claims.

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EDUCATION

Explore Learning Opportunities

We offer free training for providers who participate in our networks. Sign up for sessions, including:

Behavioral health in older adults, offering continuing education credit

Culture of caring, offering continuing education credit

Pediatric care: Postpartum depression, youth obesity management and NICU pediatrics

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NETWORK PARTICIPATION

Oklahoma Insurance Department and Centers for Medicare & Medicaid Services Launch Provider Directory Program

This collaboration is piloting a program for a statewide provider directory. Qualified Health Plans and providers can participate beginning in April.

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Watch for Our Annual Satisfaction Survey

The survey measures your satisfaction with Blue Cross and Blue Shield of Oklahoma and identifies areas where we can refine. Learn how to participate.

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Groups May Update Provider Information by Roster

Groups with Type 2 National Provider Identifiers may contact us to make changes to providers’ demographic information through their group roster.

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Looking for Help?

Do you know the fastest way to get a response on prior authorizations? Are you aware of the latest pharmacy drug updates, or do you have a claims question? You can find many answers on our provider website, including:

• The latest updates

• Details about tools to streamline billing and processes

• Tips for newly contracted providers

• Quick reference links


Contact Your Provider Relations Representative

If you have a question and can’t find an answer, our provider relations representatives are here to help. Email us or call 800‑722‑3730 and select Option 2 for network.

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STANDARDS AND REQUIREMENTS

Review Updates to Clinical Payment and Coding Policies

We regularly add and modify our CPCPs as part of our ongoing policy review. See which policies were updated and when.

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See Updated Policy for Billing Telemedicine and Telehealth Services

Our revised CPCP for telemedicine and telehealth services includes new coding guidance from the American Medical Association.

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Review New Policy for Billing Lactation Support Services

Effective June 26, 2025, we have a new CPCP with billing and coding guidance for lactation support services provided during the antenatal, perinatal and postpartum periods.

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Review Medical Policy Updates

Approved new or revised medical policies and their effective dates are usually posted on our website the first and 15th of each month. You can view all active and pending policies, as well as draft medical policies, and provide comments on draft policies. These policies may impact your reimbursement and your patients’ benefits.

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Stay Informed

Watch News and Updates and this newsletter for the latest information. If someone in your practice would like to receive Blue Review, share this link to subscribe leaving site icon.

Our provider website has information about orientation, training, online tools and other resources.

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Verify Your Directory Details Every 90 Days

Your directory information must be verified every 90 days. It’s easy and quick to get it done for all health plans in Availity® Essentials leaving site icon, or you can use our Demographic Change Form. Learn more.

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Contact Us

Contact information for Provider Relations Representatives and other resources is on our website.

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