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April 2021 Medical Policy Updates

Medical Policies | April 30, 2021

Here are the medical policy updates for April.

Coming Soon: RadMD® Enhancements

Prior Authorization,NIA Magellan | April 29, 2021

Get the latest updates on RadMD®!

New Medical Policy: Cluneal Nerve Block for Treatment of Low Back Pain

Medical Policies | April 23, 2021

Learn about the medical policy for cluneal nerve blocks for the treatment of low back pain.

High Dollar Pre-payment Review (HDPR): CARC 216, RARC N183

Claims | April 15, 2021

Learn about the high dollar pre-payment review process.

Telehealth Updates

Medical Policies | April 13, 2021

See the latest updates for Telehealth.

New Medical Policy: Fibromyalgia Testing

Medical Policies | April 12, 2021

Effective July 1, 2021 BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan will implement a new medical policy addressing fibromyalgia testing.

March 2021 Medical Policy Updates

Medical Policies | March 31, 2021

Here are the medical policy updates made in March 2021.

Blue Exclusive Reedy and Cooper Reminders

Serving Members | March 3, 2021

These are a few friendly reminders about the Blue Exclusive Reedy and Cooper plans.

February 2021 Medical Policy Updates

Medical Policies | February 26, 2021

Here are the medical policy updates made in February 2021.

COVID-19: High Dollar Pre-payment Reviews

COVID-19,Claims | February 9, 2021

Receive the latest updates on high dollar pre-payment reviews.

COVID-19: Telehealth

Telehealth,COVID-19 | February 9, 2021

Receive the latest updates on telehealth services.

COVID-19: Vaccination

COVID-19 | February 9, 2021

Receive the latest information on the COVID-19 vaccination.

COVID-19: Billing

COVID-19 | February 9, 2021

Receive the latest COVID-19 billing guidelines.

Avalon Policy Number Updates

Laboratory Medical Benefits,Medical Policies | February 9, 2021

The policy numbers for the Avalon medical policies have changed.

2021 APS FAQs Now Posted

Training and Special Events | February 8, 2021

The 2021 APS FAQs are now available online.

New Territory Map

Other | February 2, 2021

See the new changes that were made to the Provider Education Territory Map.

TriMed and FEP Changes

Serving Members | February 1, 2021

We regret to inform you that TriMed Services is a non -preferred provider and as of April 1, 2021 we will no longer be contracting with them.

January 2021 Medical Policy Updates

Medical Policies | January 29, 2021

Here are the medical policy updates made in January 2021.

Unsolicited Refunds

Claims | January 1, 2021

Send corrected claims for the fastest payment correction.

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