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Past Issues

May 2002

Important Updates

Health Options revises member rights and responsibilities

Health Options has updated its member rights and responsibilities, which are published in the member handbook and are described in our provider manuals and billing guides.

May is National Asthma and Allergy Awareness Month

Asthma is an allergic disease in more than 90 percent of those young adults and children afflicted with it.

New named president of BCBSF

The board of directors has appointed Robert Lufrano, M.D., president of Blue Cross and Blue Shield of Florida.

USPSTF updates breast cancer screening recommendations

The U.S. Preventive Services Task Force (USPSTF) recently reviewed the evidence regarding the effectiveness of mammography, clinical breast examination and breast self-examination in reducing breast cancer mortality and updated its 1996 recommendations contained in the Guide to Clinical Preventive Services, second edition.

Verify coverage for EPO members from other Blues

Through the BlueCard PPO Program, you may encounter members from other Blue Plans with Exclusive Provider Organizations (EPOs).

Billing

File BlueCard claims to primary carrier

In some cases, two or more insurance plans cover one individual.

Waivers from FEP members seeking provider authority are illegal

The U.S. Office of Personnel Management (OPM) advises that some Federal Employee Program (FEP) members are being asked to sign "waivers" accepting financial responsibility for the cost of all health care services before they are rendered.

Products and Services

BCBSF BlueNews Q&A

Q. If we get a global authorization from Health Options for an OB patient, do we have to call to get separate authorizations for every ultrasound and NST?

Have BCBSF updates emailed to your office

Providers and their staff can now sign up for a new email service to receive the latest information from Blue Cross and Blue Shield of Florida (BCBSF).

Perform microalbuminuria testing on diabetic members yearly

The American Diabetes Association reports that diabetic nephropathy accounts for about one third of all cases of end stage renal disease (ESRD).

Web-based transaction service available to providers

We continue to simplify the ways providers work with Blue Cross and Blue Shield of Florida and other health insurance companies.

Pharmacy News

BCBSF Drug Formulary Update

BCBSF maintains a separate medication list for our customers with a two-tier benefit plan.

OxyContin: A growing controversy

Although an effective agent for severe pain when used appropriately, OxyContin abuse and diversion to the black market has simultaneously become a nightmare for many prescribers, pharmacies and law enforcement agencies.

Preferred Medication List Update

The Preferred Medication List for three-tier benefit plans is updated quarterly.