Watch for Claims Processing Improvements for Blue Cross Community Health Plans^SM

We’re improving how we process claims for members with BCCHP^SM and hope you can see the difference. The claims processing updates went into effect Aug. 1, 2025.

Review New Claims Editing Rules

We’re updating the Lyric software database in November 2025 to better align coding with claim reimbursements. See what’s changing.

Avoid Antibiotics for Acute Bronchitis and Other Viruses

Antibiotics don’t work against viruses and can cause side effects and antimicrobial resistance. Learn about a Centers for Disease Control and Prevention event on Sept. 16, 2025, on antibiotics awareness.

Use Shared Decision‑Making Aids to Help Guide Care Choices

Our members may have better patient experiences and outcomes when they participate in their care. Learn about evidence‑based aids that can help involve your patients.

Explore Learning Opportunities

We offer free webinars and workshops for providers who participate in our networks. View the schedule and sign up for sessions, including training on medication for opioid use disorder.

Avoid Many Denials of Medicaid Claims with Help from New Resources

A few common billing errors typically cause most claim denials for members of BCCHP. Learn about resources to help with processing and avoid payment delays.

Verify Your Information: Update on Roster Request Processing Timeline

Provider groups can facilitate the roster process by emailing one request every 90 days and including your tax ID number in the request. Allow four weeks to receive your roster.

Provide Records If Requested for Independent Physician Association Chart Audit

We’re contacting some IPAs to collect a random sample of 2024 charts for primary care and behavioral health providers. Review required documentation and notes.

Watch for Updated Out‑of‑area Member ID Cards Without Suitcase Logo

Some Blue Cross and Blue Shields Plans have begun updating their member ID cards to remove the suitcase logo. Learn about the change.

Review Procedure Code and Fee Schedule Updates

On Sept. 1, 2025, we updated select codes in the 90632‑90756 and Q2034‑Q2039 Current Procedural Terminology (CPT^®) code ranges.

See Pharmacy Program Quarterly Update — Part 1

Changes were made to our drug lists and utilization management program. Learn about these and other pharmacy program updates.

Learn About Updates to Clinical Payment and Coding Policies

We regularly add and modify CPCPs as part of our ongoing policy review. See which policies were updated and when.

Review Medical Policy Updates

Approved new or revised medical policies and their effective dates are usually posted on our website the first and 15th of each month. You can view all active and pending policies, as well as draft medical policies, and provide comments on draft policies. These policies may impact your reimbursement and your patients’ benefits.