Archived News Updates

November 2021 Provider Bulletin — November 19, 2021

Implementation of Facility Claims Editing — November 3, 2021

October 2021 Provider Bulletin — October 27, 2021

Paper Remittance Advice for 10/6/21 and 10/7/21 — October 6, 2021

Advanced Practice Provider Credentialing and Provider Directory Requirements — September 10, 2021

Updated SNF Clinical Concurrent Review Form — September 8, 2021

Philips Recall — August 27, 2021

August 2021 Provider Bulletin — August 2021

Preferred Formulary Updates — June 21, 2021

Modifiers — April 2, 2021

ASC Updated Billing Guidelines — March 26, 2021

Prior Authorization Enhancement — February 26, 2021

New Never Events Payment Policy — February 10, 2021

Prior Authorization List Expansion — January 15, 2021

Sunset of Provider Relations Role — December 28, 2020

Important Provider Information — December 28, 2020

Sequestration — December 17, 2020

Electronic Prior Authorization — December 17, 2020

New EOB and Paper Remittance Advice — December 16, 2020

Rx Savings Solutions – FAQ

Avalon Automated Policy Enforcement Announcement - 2020

Changes to Member ID Cards and Pharmacy Benefit Manager Transition—October 15, 2019

Provider Payment Policies—July 15, 2019

EDI Maintenance Scheduled for the Weekend of May 4 - May 5

New Self-Service Tool for Provider Remittances

New Alphanumeric Prefixes on Member ID Cards

Avalon Genetic Testing Announcement - 2019

New Electronic Claim (837) Edit: Diagnosis Codes—October 1, 2017

Blue Cross and Blue Shield of Kansas City Announces it will not offer Individual Affordable Care Act (ACA) Plans in 2018

New Pharmacy Authorization Information

Please click on the following link for further information:
New Pharmacy Authorization Information

Billing Update on Flu Virus Vaccine: CPT Code 90674

New Blue KC Electronic Claim (837) Edit – Effective Monday, January 18, 2016

Availity and Electronic Fund Transfers (EFT) Announcement

Please click on the following link for further information:
Availity and Electronic Fund Transfers (EFT) Announcement

ICD-10 Testing Results with General Question and Answer Section

Please click on the following link for further information:
ICD-10 Testing Results with General Question and Answer Section

ICD-10 General Information and End to End Testing

Please click on the following link for further information:
ICD-10 General Information and End to End Testing

Missouri State Medical Association, Kansas Medical Society, and Centers for Medicare and Medicaid Services sponsor free ICD-10 teleconference.

Please click on the following link for further information:
ICD-10 "ROAD TO 10": ICD-10 Implementation Guidance

Update for the December 22, 2014 Dental Payment Issue

This issue has been resolved and all claims have completed the final payment process. Please see below for expected delivery of the following payment methods:

  • Electronic Fund Transfers (EFT) delivered to your bank by Friday, December 26, 2014
  • Paper checks should be received by Tuesday, December 30, 2014.

Federal Employee Program (FEP)—September 8, 2014 Payment Issue:

Blue KC experienced an issue with our FEP claims payment process. A portion of FEP claims that were marked for payment did not make it to the final payment process. This may be reflected by your FEP payment and remittance advice being lower than normal. Please note that Blue KC has resolved this issue and all remaining claims impacted by this issue will be paid on Wednesday, September 10, 2014.

Please see below for expected delivery of the following payment and remittance methods:

  • Electronic Remittance Advice (835) delivered to your clearinghouse by Thursday, September 11, 2014
  • Electronic Fund Transfers (EFT) delivered to your bank by Thursday, September 11, 2014
  • Paper checks and paper remittances should be received by Monday, September 15, 2014

Update on General Motors active employees—Posted 07/18/2014

General Motors Active Hourly (UAW) employees will have access to the Preferred-Care Blue network effective Aug. 1st. Members will receive their new identification cards with a new alpha prefix GMQ and the Preferred-Care Blue network logo, in late July. Keep in mind, the member must be referred to a Preferred-Care Blue network provider to receive the highest benefit level under the plan.

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