To The Physician
We offer many e-solutions for you
With our goal to make it easier for you to do business with us, we continue to add new e-tools and enhance our other online programs to help your office work with us more efficiently.
Important Updates
Asthma control in children found lacking
One of the nation’s largest and most comprehensive surveys about children and asthma, Children and Asthma in America, shows control of asthma in children falls far short of national treatment goals established by the National Heart, Lung and Blood Institute (NHLBI) of the National Institutes of Health.
Diabetes care shows mixed results
The Blueprint for Health® Diabetes Program recently concluded a statewide chart review focusing on diabetes care provided for calendar year 2003.
HEDIS study under way
Blue Cross and Blue Shield of Florida’s HMO subsidiary, Health Options, Inc., is conducting the 2005 Health Plan Employer Data and Information Set (HEDIS®) study.
Products and Services
Now online!
Blue Cross and Blue Shield of Florida has updated its website.
Medical Coverage Guidelines
Dyslipidemia, CVD assessment tests
The following tests are not covered in the diagnosis (all ICD-9 related diagnoses) and management of dyslipidemia and cardiovascular disease (CVD).
Save time: Check MCG online
Is that procedure covered or investigational? What documentation is required to establish medical necessity?
Billing and Claims
Follow CPT guidelines for new patient visits
Blue Cross and Blue Shield of Florida and its HMO subsidiary, Health Options®3, follow CPT guidelines in defining new and established patients for the purpose of reporting evaluation and management services, as well as determining the appropriate billing of such visits.
Electronic Solutions
Specialty E&B coming soon
You’ve asked to receive specific benefit information via Availity’s Eligibility and Benefits response.