Verify Your Information in Statewide Provider Directory Pilot

The Centers for Medicare & Medicaid Services and Oklahoma Insurance Department launched the directory for Qualified Health Plans to improve data accuracy. Check your data now.

Review New Claims Editing Rules

We’re updating the Lyric software database in November 2025 to better align coding with claim reimbursements. See what’s changing.

Avoid Antibiotics for Acute Bronchitis and Other Viruses

Antibiotics don’t work against viruses and can cause side effects and antimicrobial resistance. Learn about a Centers for Disease Control and Prevention event on Sept. 16, 2025, on antibiotics awareness.

Use Shared Decision‑Making Aids to Help Guide Care Choices

Our members may have better patient experiences and outcomes when they participate in their care. Learn about evidence‑based aids that can help involve your patients.

Explore Learning Opportunities

We offer free training for providers who participate in our networks. Review and sign up for sessions, including training on medication for opioid use disorder.

Look for an Amendment to Your Provider Agreement

We sent you a notice about the amendment. Learn what’s changing, effective Dec. 1, 2025.

Watch for Updated Out‑of‑area Member ID Cards Without Suitcase Logo

Some Blue Cross and Blue Shields Plans have begun updating their member ID cards to remove the suitcase logo. Learn about the change.

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.

See Pharmacy Program Quarterly Update — Part 1

Changes were made to our drug lists and utilization management program. Learn about these and other pharmacy program updates.

Learn About Updates to Clinical Payment and Coding Policies

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

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.