Past Issues

Beginning in mid-February and running through May, Applied Marketing Sciences, Inc. (AMS) of Boston, Mass., will be conducting a research study on behalf of Blue Cross and Blue Shield of Florida.

This chart details the 2005 State Employees' PPO Plan Benefits Summary.

On Jan. 24, 2005, the Florida Department of Health (DOH) lifted restrictions on those eligible to receive flu vaccines.

Blue Cross and Blue Shield of Florida generally reimburses 85 percent of the average wholesale price (AWP) on HCPCS drug codes.

This chart list the State Employees' PPO Plan Adult Preventive Benefits effective Jan. 1, 2005.

A key change in the State Employees’ PPO Plan for 2005 is the eligibility of spouses, dependent children ages 17 and older, and retirees to enjoy the adult preventive care benefits previously covered for State employees only.

Here is a summary of the Adult Preventive Benefit Services and Immunizations.

Beginning Jan. 1, 2005, Blue Cross and Blue Shield of Florida (BCBSF) is the single point of contact for claim status inquiries, claim appeals and general claim information for all BlueCard® and other Blue Plan claims.

Blue Cross and Blue Shield of Illinois (BCBSIL) is the administrator of the State Farm Insurance Companies’ Group Medical PPO Plan effective Jan. 1, 2005.

Are you a primary care physician who coordinates care for a BlueCare, Medicare and More or ActivelyYouSM member between ages 5 and 56 who’s diagnosed with asthma?

Beginning Jan. 1, 2005, all strips and lancets for BlueOptions members are covered through their pharmacy benefit.

The Blueprint for Health Diabetes Program offers some important benefits and services to your BlueCare, Medicare and More and ActivelyYouSM patients with diabetes at no cost to them.

As of Jan. 1, 2005, home health care services for Federal Employee Program (FEP) and Medicare supplement members should be billed on the UB-92 claim form. Previously, FEP and Medicare supplement members receiving home health care services in Florida were required to bill on the CMS 1500.

Beginning Jan. 1, 2005, members from some Blue Plans have a Blue Cross and/or Blue Shield health care payment card—a debit card with value-added features to help physicians and providers collect member cost-sharing amounts.

The Manual for Ancillary Providers is available online at bcbsfl.com. You may also choose Medical Coverage Guidelines under Medical Information to learn about global benefit coverage, by service or category, for Florida group members.

The billing process for PPO claims involving immunization administration has changed as a result of system changes designed to streamline the process across all products.

Since its inception, Availity® 1 has registered more than 13,000 physician offices, all 208 Florida hospitals, and a cross-section of other stakeholders that use its Gateway every day for real-time information exchange.