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Past Issues

December 2003

Important Updates

State employees’ PPO out-of-pocket expenses to rise in 2004

Earlier this year, Florida legislative action resulted in changes to the State Employees’ PPO Plan effective Jan. 1, 2004.

Strategies to increase flu shots in kids

Last year the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics revised their recommendations for flu vaccine in infants and young children.

Billing

CRNA payment formulas to be revised

Blue Cross and Blue Shield of Florida and Health Options will pay for Certified Registered Nurse Anesthetists (CRNA) services provided on or after Jan. 03, 2004.

Is a “25” modifier needed on your immunization claim?

Incorrect coding can cause claims to reject or be underpaid. Frequently, incorrect coding occurs when a physician administers an immunization and also performs a separate medical service during the office visit.

Wal-Mart benefits to be covered under BlueCard in 2004

Blue Cross and Blue Shield of Alabama will administer PPO health plan benefits and medical coverage for Wal-Mart Stores, Inc. beginning Jan. 1, 2004.

Products and Services

ClaimCheck changes to go into effect

This month, Blue Cross and Blue Shield of Florida is upgrading its version of ClaimCheck®.

Redesigned online provider directory is simpler, user-friendly

Physicians and members alike have requested a more user-friendly online provider directory with improved search capabilities.