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Hot Topic Library - Archive 2015

The following news items were posted on the PRC on the dates noted. News items are featured on the main page for a minimum of five days and, upon their initial posting date, also are added to this Library. Despite eventually being removed from the main page, the messages may remain relevant and will be maintained here for your future reference.

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Date Posted Provider Type Message
11/18/15 Professional Four Codes To Be Added To List Of Procedures Requiring Authorization, Effective 1/1/16
11/18/15 All 4th Qtr Update to the Highmark Drug Formularies
10/28/15 All Correction To Obstetrical Ultrasound Article Published In September 2015 Medical Policy Update
10/13/15 All Provider Service Telephone Lines: New Self-Service Prompts Being Rolled Out
10/05/15 All Updated List Of Procedures/DME Requiring Authorization, Effective Oct. 1, 2015
09/25/15 Facility ICD-10: ER and Observation Services, Spanning Compliance Date, Clarified
09/25/15 All PMMP Providers: ICD-10 Update Regarding New Forms
09/25/15 All Clinical Coding Testing Results To Date
09/21/15 All ICD-10: Highmark Delaware Testing Endeavors: Testing Efforts Shared With Network Providers!
09/04/15 All 3rd Quarter 2015 Update - Changes to the Highmark Drug Formularies
09/03/15 All Updated List Of Procedures/DME Requiring Authorization, Effective September 1, 2015
08/10/15 All All Drug Claims Billed Under Medical Benefit Must Include NDC, Effective Nov. 16, 2015
08/10/15 All Are You Prepared for ICD-10? Take the ICD-10 Readiness Survey Today!
08/07/15 All Make Sure You Complete Your Required Medicare Training
07/31/15 All Sixteen Codes to be Added to List of Procedures Requiring Authorization, Effective 10/1/15
07/28/15 All Updated List Of Procedures/DME Requiring Authorization, Effective July 27, 2015
07/21/15 Professional Physicians: Latest Issue of Clinical Views now online!
07/20/15 All CMS ICD-10 Quick Start Guide Added To Tool Kit
07/10/15 All New Options Available: Provider Service Telephone Lines
07/01/15 Professional Fourteen Codes To Be Added To List Of Procedures Requiring Authorization, Effective 9/1/15
06/30/15 Professional Dosing Limits For Stelara Enforced
06/30/15 All Updated List Of Procedures/DME Requiring Authorization, Effective June 29, 2015
06/19/15 Professional 2nd Quarter 2015 Update - Changes to the Highmark Drug Formularies
06/17/15 All House Call Program To Launch In July
06/02/15 Professional Updated List Of Procedures/DME Requiring Authorization, Effective June 1, 2015
05/18/15 Professional Quality Blue P4V Program - Revised Mastheads for 2015
05/06/15 All Register Now for the Quality Blue P4V Regional Care Delivery Model Forum on May 27
05/05/15 All Updated List of Procedures/DME Requiring Authorization, Effective May 1, 2015
05/04/15 All Updated Physical Medicine Management Program Administrative Guide is Now Available Online
04/27/15 Professional PCP’s: The Quality Blue Physician P4V Program is Almost Here - May 1, 2015
04/20/15 All The New Quality Blue Physician P4V Program: Launch is Set for May 1, 2015
04/20/15 Professional PCP's: The Quality Blue Physician P4V Program is Only 2 Weeks Away - May 1, 2015!
04/15/15 All New Tool Kit May Offer Assistance With ICD-10 Transition
04/10/15 Professional PCP’s: The Quality Blue Physician P4V Program Implementation Is Soon Approaching – May 1, 2015
04/02/15 Professional More Information About Radiation Therapy Authorization Program
04/02/15 Professional Eight Injectable Drugs To Require Authorization, Beginning In June 2015
03/31/15 All Updated List Of Procedures/DME Requiring Authorization, Effective March 30, 2015
03/19/15 All Attend an Upcoming Webinar on the New Quality Blue Physician P4V Program
03/10/15 All Provider Resource Center HIPAA Link Updated To: ICD-10/HIPAA
02/27/15 All Effective 5/01/15, 11 Codes to be Added to List of Outpt Procedures/Srvcs Requiring Authorization
02/25/15 All Updated List Of Procedures/DME Requiring Authorization, Effective February 23, 2014
02/24/15 Professional Quality Blue Physician Program
02/19/15 All Important Changes Effective 4/20/15: Provider Assignment of Liability
02/13/15 Professional 1st Quarter 2015 Update - Changes to the Highmark Drug Formularies
02/11/15 All New Office Orientation Webinar Wednesday, February 25, 2015
01/14/15 All Catch up on all the newest Highmark Delaware information in the latest issue of Provider News!

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Last updated on 4/27/2021 1:46:14 PM

 

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The following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield. West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield. Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.