Blue Review Provider Newsletter

Our Blue Review provider newsletter is released monthly so that you and your staff have the latest news on claims and billing, federal mandates, medical policies, condition management programs, practice guidelines, formulary/drug list updates, BlueCard and educational webinars.

To receive the Blue Review provider newsletter please click on the Receive newsletter by email link under Related Resources or fill out the Change Existing Demographic Information form and include your email.

April 2025

  • Welcome to Cigna Healthcare® Medicare Advantage‑Contracted Providers
  • Quality Measures Track Treatment and Follow‑Up Visits for Substance Use Disorders
  • Update Your Records with New Member ID Numbers
  • Explore Learning Opportunities
  • Oklahoma Insurance Department and Centers for Medicare & Medicaid Services Launch Provider Directory Program
  • Watch for Our Annual Satisfaction Survey
  • Groups May Update Provider Information by Roster
  • Review Updates to Clinical Payment and Coding Policies
  • See Updated Policy for Billing Telemedicine and Telehealth Services
  • Review New Policy for Billing Lactation Support Services

March 2025

  • Education and Residency Information Required for Directory
  • Encourage Follow‑up Care After Hospital Visits for Mental Health
  • Watch for Updates to Claims Review for Oncology Drugs and Services for Medicare Advantage Members
  • We’re Updating Our Payment Systems to Help Improve Efficiencies
  • Utilization Management Review Paused for Advanced Imaging Site of Care
  • Discuss Colon Health and Preventive Screening with Our Members
  • 2023 Program Results for Blue Cross Medicare Advantage Dual CareSM
  • Has Your Information Changed? Update Us and the NPI Registry
  • Pharmacy Program Quarterly Update — Part 1
  • Clinical Payment and Coding Policy Updates
  • Medical Policy Updates
  • Share Your Experiences with Blood Lead Level Screening

February 2025

  • Quality Measures Help Track Our Members’ Heart Health
  • Avoid Inappropriate Use of Antipsychotic Medication for Anxiety Disorders
  • Postponed: Updates to Behavioral Health Substance Use Criteria for Utilization Management
  • Earn Continuing Education Credit in Courses on Maternal Mental Health
  • Annual Survey Monitors Our Members’ Health Care Experiences
  • Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
  • Hospitals Must Provide Notice to Members Under Outpatient Observation for More Than 24 Hours
  • Medical Record Collection for Commercial Members Begins in February
  • Looking for Help? Contact Your Network Representative
  • Pharmacy Program Quarterly Update – Part 2
  • Laboratory Management Clinical Payment and Coding Policies Updated

January 2025

  • PEAQSM Program Adds New Specialties for Cost Efficiency Analysis
  • New Prior Authorizations Are Required for Home Health Care
  • Remind Billing Agencies to Correctly Submit Claim Review Requests
  • ClaimsXtenTM Quarterly Update
  • Prior Authorization Changes
  • Medical Records Needed to Support Quality Care
  • Follow‑Up Care Is Recommended for Children Prescribed ADHD Medication
  • Remind Our Members About Cervical and Breast Cancer Screenings
  • New Gene Therapy Solutions Helps Monitor Results
  • New Part D Quality Measures Track High‑Risk Medication Combinations
  • Medicare Providers May Treat Members of Blue Cross Group Medicare Advantage Open Access (PPO)SM
  • Appointment Wait Time Standards for Commercial Members Are Changing
  • Medicare‑Like Rates to Apply to Claims for Some Self-Funded Tribal Plans
  • Ensure Your Office Is Providing Your Most Current Information
  • Keep Your Contact Information Updated to Receive Recredentialing Reminders
  • Looking for Help? Contact Your Network Representative
  • Clinical Payment and Coding Policy Updates
  • Medical Policy Updates

2024 Newsletters

2023 Newsletters