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Past Issues

October 2001

Important Updates

Away From Home Care changed

Beginning Sept. 1, claims for traveling Health Options BlueCare and Elect Care members who previously received urgent care or follow-up services through the Away From Home Care (AFHC) program are being processed through the BlueCard program.

DaimlerChrysler hospice, case management programs changed

Blue Cross Blue Shield of Michigan (BCBSM) assumed case management program administration for DaimlerChrysler enrollees on Aug. 18, 2001.

Flu vaccine info is available

The Centers for Disease Control (CDC) has asked physicians to target high-risk persons for vaccination early in the flu season, defer vaccinating low-risk individuals until November, when supplies should increase, and encourage vaccination through December.

Inadequate federal funding forces partial Medicare & More withdrawal

Due to a lack of adequate reimbursement and continued onerous regulation, Blue Cross and Blue Shield of Florida’s Health Options subsidiary will withdraw its Medicare HMO from several Florida counties.

Billing

Avoid mistakes that prompt claim rejects

The Front-End Edits (FEE) claims validation process implemented for all health plans Aug. 11, 2001, provides immediate information about specific errors in your claim submissions.

BCBSF hospital payments go to weekly cycle

In September, Blue Cross and Blue Shield of Florida changed its payment schedule for its insurance business.