Feature
Par-to-par HMO referrals eliminated
As of Sept. 30, 2006, primary care physicians (PCPs) no longer need to notify Health Options when referring a BlueCare member to a participating specialist. This also applies when a participating specialist refers a member to another participating Health Options specialist.
To the Physician
e-Medicine
Products and Services
Billing and Claims
Electronic Solutions
FEP out-of-pocket expense added to Availity
As of Aug. 12, 2006, the Availity®1 Health Information Network includes additional eligibility and benefit information regarding Calendar Year Deductible and Out of Pocket maximum accumulations for members in the Federal Employee Program (FEP).
BlueCard
Medical Notes
Program reaches out to at-risk groups
The number of new diabetes cases is increasing at a staggering rate. The Centers for Disease Control and Prevention (CDC) indicates that for children born after 2000, one in three will develop diabetes in their lifetime.
News of Note
BlueOptions coverage begins Oct. 1 for school board
Physicians and providers in Northeast Florida may begin to see new patients in October, as Blue Cross and Blue Shield of Florida health plan coverage goes into effect Oct. 1, 2006, for the Duval County School Board.
Health Options receives top NCQA rating
The National Committee for Quality Assurance (NCQA) has awarded the rating of Excellent to Blue Cross and Blue Shield of Florida’s (BCBSF) commercial HMO plan, Health Options.
HMO process for DME-MS is changing
Health Options’ agreement with management vendor EMP Medical, Inc. (EMP) to coordinate the delivery of the majority of durable medical equipment and medical supplies (DME-MS) will expand to cover all HMO members statewide effective Sept. 25, 2006.