December 2022

Visit Our Website for New Documentation and Coding Resources

We appreciate your time and the care and services you provide to your patients, our members. When it’s time to submit your claims for reimbursement, we want to help ensure the process goes smoothly.

How can you ensure your claims get through the door?
You’ve checked eligibility and benefits to determine membership and other important details, such as prior authorization requirements and utilization management vendors to use, if applicable. That’s great! But without thorough documentation and careful coding, your claims might be denied or returned for more information.

We’ve added six new claim filing tip sheets to our Claim Submission page, under Documentation and Coding Resources. Currently, there are tip sheets for the following conditions:

• Atrial Fibrillation
• Cancer and Cancer Related Treatment
• Diabetes Mellitus
• Human Papillomavirus (HPV)
• Major Depressive Disorder
• Obesity

In the coming months, we’ll be adding more tip sheets to the above list. Watch the News and Updates and Blue Review for announcements on new tools and related resources.