2014 News and Updates

Open Enrollment: Welcoming New and Renewing Members

Dec. 24, 2014

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Pharmacy Program Updates: Pharmacy Program Changes Effective Jan. 1, 2015

Dec. 24, 2014

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ClaimsXten to Add Correct Coding Initiative Rule

Dec. 23, 2014

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Coordination of Benefits – Communication Update

Dec. 15, 2014

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Supporting Appropriate Use of Prescribed Controlled Substance Medications

Dec. 15, 2014

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Alpha-prefix Reference Guide

Dec. 11, 2014

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Submitting Electronic Replacement and/or Void Claims

Nov. 11, 2014

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Medical Record Submission 'Dos and Don'ts'

Oct. 22, 2014

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Government Reclassifies Hydrocodone Combination Products

Oct. 14, 2014

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Pharmacy Program Benefit Changes, Effective Jan. 1, 2015

Sep. 30, 2014

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In the Know: Medicare Marketing Guidelines for Providers

Sep. 26, 2014

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MUS Vision Plan Has New Hardware Vendor

Sep. 05, 2014

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Provider Contracting and Credentialing Process

Sep. 03, 2014

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Modifier 51 Clarification

Aug. 25, 2014

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Medically Unlikely Edits Rule and Orthotics Devices and Procedures

Aug. 12, 2014

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Postpone: ClaimsXten November 2014 Update

Aug. 07, 2014

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Health Care Management Services Reference Guide

Jul. 30, 2014

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New Fax Numbers for Predetermination Requests for Outpatient Services, Drugs and Devices

Jun. 25, 2014

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Medicare Crossover Claims Submission Reminder

May. 19, 2014

Blue Cross and Blue Shield Plans have been using the Centers for Medicare and Medicaid Services (CMS) crossover process to receive Medicare primary claims since January 2006. The CMS crossover process routes Medicare Supplemental claims (Medigap and Medicare Supplemental) directly from Medicare to BCBSMT so that providers do not need to also submit the claim to BCBSMT.

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Provider Online Services

Apr. 25, 2014

Please review the information below for updates and new items available to our providers using the Provider Online Services. Recent changes include dental benefit summary information as well as access to your Provider Claim Summary (PCS) reports from our new processing system.

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Modifier 59 Policy Changes with ClaimsXten

Apr. 16, 2014

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BCBSMT Streamlines Medical Policies Page

Apr. 09, 2014

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Tips for Using a 270 Eligibility/Benefit Request

Apr. 08, 2014

As of Jan. 1, 2014, providers can view benefit summary information for BCBSMT members who have either converted to or are new to our new processing system. However, the benefit summary for these members is not as detailed as providers may be accustomed to seeing.

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Clarification: 'Operational Updates for Montana Providers'

Feb. 20, 2014

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ClaimsXten Second Quarter 2014 Updates

Feb. 12, 2014

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Provider Operational Updates

Jan. 01, 2014

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