Past Issues

When you provide services to a patient insured by an out-of-state Blue Cross and/or Blue Shield plan, following the steps below will ensure proper processing:

Glycemic control in patients with diabetes should be assessed primarily by periodic measurement of HbA1c levels with a goal of 6.5% or less, according to the 2002 American Association of Clinical Endocrinologists (AACE) medical practice guidelines update.

A provider claim appeal is a written request from a physician or provider for reconsideration of a claim payment or denial.

Providers can avoid payment delays by ensuring that claims sent electronically have been accepted by Blue Cross and Blue Shield of Florida (BCBSF).

The new Manual for Home Health Providers for our HMO, PPO and Traditional networks is now accessible through our website.

Many patients have more than one health insurance policy. Maintaining the most complete, accurate and up-to-date insurance information can help you reduce the number of claim denials you receive related to other coverage and help contain the rising cost of heath care.

Availity’s Prescription Refill Service can help you dramatically cut time spent on prescription refill authorization requests.

The new Manual for Home Health Providers for our HMO, PPO and Traditional networks is now accessible through our website.

With the breadth of cultures across Florida, Blue Cross and Blue Shield of Florida is aligning with two U.S. Surgeon General goals for this decade.

Blue Cross and Blue Shield of Florida (BCBSF) is converting all current and future senders of electronic claims to Availity, an independent, secure electronic health care transaction gateway.

Blue Cross and Blue Shield of Florida maintains a separate medication list for our customers with a two-tier benefit plan.

n late 2001, Blue Cross and Blue Shield of Florida launched an “efficiency of dosing” initiative with the medication Lipitor.

Approximately half of patients do not get a written prescription filled. Of prescriptions retrieved, about 50 percent are not taken correctly or completely.

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