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Past Issues

June/July 2004

Bulletin

Member ID numbers will change

An important change will occur later this year regarding member identification numbers on ID cards.

Some plans are already issuing new IDs

Some Blue Plans have already begun issuing unique ID numbers for their members.

To the Physician

Recognizing Excellence and other programs are coming your way

Blue Cross and Blue Shield of Florida is working to bring physicians a number of new programs designed to support you and your staff and enhance your patients’ health care experience.

Important Updates

CDC revises flu vaccine recommendation

In May, the Centers for Disease Control and Prevention (CDC) issued a revised Recommended Childhood and Adolescent Immunization Schedule for July through December 2004.

Get our 2003 Annual Report

The 2003 Blue Cross and Blue Shield of Florida Annual Report was published July 1, 2004.

New lab provider tapped for HMO and NetworkBlue

Blue Cross and Blue Shield of Florida and its subsidiary, Health Options, have contracted Quest Diagnostics Incorporated to provide clinical laboratory services for BlueCare, Medicare & More and BlueOptions members.

Online Remittance Advice now available

Blue Cross and Blue Shield of Florida and Availity are pleased to announce the implementation of the Online Remittance Advice (OLR) beginning June 28 for claims that processed on and after April 1, 2004.

Products and Services

Ancillary manual added to website

The new Manual for Ancillary Facilities has been added to our website.

BlueOptions for Individuals is launched

Blue Cross and Blue Shield of Florida has launched BlueOptions for Individuals Under 65 July 1 in 22 counties.

Prevention and Practice Guidelines

“Accept the Card” during emergencies

It’s hurricane season again and with it the threat of a weather-related business interruption.

Follow these tips when prescribing oxygen, CPAP, BiPAP

If you are prescribing oxygen, Continuous Positive Airway Pressure (CPAP) or Bilevel Positive Airway Pressure (BiPAP) for BlueChoice and BlueOptions members, the following steps can help ensure claims process properly and in a timely manner.

Individualize meal plans for diabetics

The American Diabetes Association no longer recommends meal plans with no concentrated sweets, no added sugar and low sugar for diabetics.

Key clinical activities for asthma care

An increasing number of people suffer from asthma. Florida Department of Health statistics show that about 4 percent of our state’s residents live with asthma.

Billing and Claims

Code with the highest specificity

Some electronic claims are denied because they include an invalid diagnosis code. Using the most appropriate diagnosis code with the highest number of digits provides accurate and detailed information needed to process claims correctly.

Coding changes went into effect

Blue Cross and Blue Shield of Florida has upgraded its version of ClaimCheck®, the automated procedure code editing system used as part of our professional claims processing procedure.

When billing unclassified drugs

Submitting claims for administration of injectable drugs can be confusing, especially those without a specifically designated “J” code.

Electronic Solutions

Need to change your Availity PAA?

Your Primary Access Administrator (PAA) is responsible for your office’s Availity electronic transactions.