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Blue Bulletin

BlueShield of Northeastern NY strives to provide our network of provider practices and facilities with the most current health plan information in a quick and easily accessible manner.

  • 2021 Updates: Products and Benefits

    December 28, 2020

    BlueShield continues to review and adjust our insurance products to meet the needs of our membership and market demands. Here we highlight new products and benefits for your BlueShield Medicare Advantage and Commercial patients, beginning January 1, 2021.
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  • Updated Credentialing Requirements for LCSWs and LMHCs Beginning January 1

    December 28, 2020

    We are updating our credentialing policies for Licensed Clinical Social Workers (LCSW) and Licensed Mental Health Counselors (LMHC) beginning January 1, 2021. LCSWs will no longer require the Licensed Clinical Social Worker “R” Privilege to be credentialed with BlueShield. Here you can learn more and find enrollment information.
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  • Medical Record Retrievals

    December 28, 2020

    We do our best to minimize the disruption of medical record requests to your practice as we work to meet continued documentation requirements. Whenever possible, we like to streamline our outreach to help manage multiple requests.
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  • HIV/AIDS Awareness Month - End the Epidemic

    December 28, 2020

    December marks national HIV/AIDS Awareness Month. New York state’s End the Epidemic, a three-point plan, seeks to reduce new HIV infections annually from 3,000 to 750 and the rate at which persons diagnosed with HIV progress to AIDS by 50%. In this article, we highlight plan strategies along with links to additional resources.
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  • Medical Protocol Updates Available Online

    December 28, 2020

    We recently reviewed 54 medical protocols. These will be posted online on or before January 1, 2021 and will have an effective date of February 1, 2021, unless otherwise noted.
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  • Administrative Requirements Reduced for Inpatient Services

    December 28, 2020

    To help further reduce administrative burden as COVID-19 cases continue to rise, we will remove preauthorization, concurrent, and post-payment review for all provider types and facilities for 60 days for your BlueShield patients. This temporary change is in effect as of December 23, 2020.
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  • COVID-19 Hospitalizations on the Rise

    November 24, 2020

    With COVID-19 cases once again on the rise in our community and escalating rates of hospitalizations, it’s important to ensure that emergency resources are available for those who truly need them. In this article, Hope Fisher, MD, Medical Director for BlueShield offers guidance on talking to your patients about when it is (or isn’t) appropriate to visit the emergency department or an urgent care facility. Here, you can also find additional COVID-19 resources for your patients.
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  • Greater Support for Caregivers Needed

    November 24, 2020

    A recent national study has shown a critical need for greater caregiver support. The study found that caregivers are experiencing significant stress and pressure, resulting in higher rates of anxiety, depression, hypertension, obesity, and other conditions. The COVID-19 pandemic has exacerbated these difficulties for caregivers. Here, we outline resources and services to help your caregiver patients.
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  • New Provider Online Coverage Plan Lookup Tool

    November 24, 2020

    We know accessing your information quickly and easily is important. New this month, our online coverage plan lookup tool will let you view which BlueShield networks and coverage plans you participate with.
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  • Reminder: Medicare Advantage Preventive OB/GYN Reimbursement Policy

    November 24, 2020

    As a reminder, certain CPT codes for OB/GYN and associated subspecialty claims are no longer being reimbursed for your BlueShield Medicare Advantage patients.
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