Provider News & Updates
Below you will find the latest on important information that may impact your practice, as well as copies of letters and notices we have released.
News and Updates
April 17, 2024
Updated Prefix Listing
The prefix list has been updated and posted here.
April 2, 2024
Preventive Care Guide Updates
There were five additions and three clarifications to the guide for April 2024. The details are located on page 54 and 55 of the guide located here: https://www.bluecrossvt.org/documents/preventive-care-guide
January 24, 2024
Updates to MD Rx for April 1, 2024
We completed our analysis of our community fee schedules for Health Care Procedure Coding System (HCPCS). The focus is for the categories of administrative, miscellaneous, investigational, radiopharmaceuticals, drugs “administered other than oral method”, chemotherapy drugs, select pathology, laboratory, bioengineered skin, and temporary codes.
Updates will be made to the community fee schedule on April 1, 2024.
March 27, 2024
Updated New & Revised Codes for April 1, 2024 (Adaptive Maintenance)
View our latest correspondence to learn about new and revised codes.
March 7, 2024
IMPORTANT HEDIS Data Collection Update
Our HEDIS data collection is on hold until further notice. If you receive a HEDIS request for medical records for a Blue Cross VT patient from anyone, please do not release the medical records and contact the provider relations team (888) 449-0443, option 1. We will post an updated notice once we are ready to resume.
March 1, 2024
Change Healthcare Incident Response
In immediate response to the reported cyber security incident with Change Healthcare on February 21, Change Healthcare has taken most of its applications offline. This means that Change Healthcare cannot post claims (837) files and bulk eligibility verification (270/271) transactions. If you are impacted by this incident, visit our Change Healthcare Incident Response Page for some options until connectivity is restored.
February 21, 2024
Additions to Independent Lab Network
Effective February 1, 2024, LabCorp is in-network with Blue Cross VT. The contract with LabCorp includes the following laboratories:
The complete listing of Independent in-network laboratories is located here.
February 14, 2024
Update to Telemedicine CPP_03
The policy has been updated retroactively to January 1, 2024, to allow G2211 when Blue Cross Vt is the primary carrier. It was previously only allowed if Medicare was the primary carrier and Blue Cross VT was secondary. The updated policy has been posted here.
February 12, 2024
Providers who have Opted out of Medicare
Great news! You no longer need to submit a copy of your Medicare opt out letter with every claim for members who have Medicare as primary and Blue Cross VT product as secondary. Effective immediately, submit a modifier -GY on each service line. This will allow the claim to process through without looking for a copy of the opt out letter to Explanation of Medicare Processing.
The provider handbook will be updated with this information in the March 2024 release.
If you have any questions, please outreach to your provider relations consultant.
February 1, 2024
Preventive Care Guide Update
The preventive guides is updated as of February 1, 2024 for the following:
View the updated preventive guide
February 1, 2024
1099’s
1099’s were mailed out on January 31, 2024. Please allow 14 business days for USPs delivery. If you do not receive your 1099 by February 20, 2024, please contact your provider relations consultant. Please note: 1099’s are not available on the provider resource center.
January 31, 2024
Medical Policy Updates for April 1, 2024
View more details about the updates here.
January 24, 2024
ClaimsXten-Select™ for April 1, 2024
The ClaimsXten-Select™ upgrade is scheduled for Monday, April 1, 2024.
January 18, 2024
The Preventive Care Guide has been Updated
An overview of the January 1, 2024 updates can be found on pages 50 & 51 of the Preventive Care Guide, located here: https://www.bluecrossvt.org/documents/preventive-care-guide
January 18, 2024
Webinar on Modifiers -25 and -59
Thanks to all who participated in the webinar on December 13, 2023. A lot of great information was shared. A recording of the webinar, the slide deck and the questions & answers are available on the Coding tab on our Provider Forms and Resources Page: https://www.bluecrossvt.org/providers/provider-forms-resources .
Thank you to the Vermont Medical Society for collaborating with us to bring you this webinar.
- 03-28-24: MD Rx (including categories of select pathology, laboratory, bioengineered skin, and temporary codes) update for April 1, 2024
- 03-27-24: Updated New & Revised codes for April 1, 2024 (Adaptive Maintenance)
- 01-31-24: Medical Policy Updates for April 1, 2024
- 01-24-24: ClaimsXten-Select™ for April 1, 2024
Provider Handbook
Access our Provider Handbook for a comprehensive reference of resources and requirements for Blue Cross providers.
Academic Detailing and Prescription Support for Vermont Blue Rx
Our Clinical Pharmacist, Amy Stoll, PharmD, works with our providers on specific prescription questions, drug authorizations, and patient panel projects. Amy is a board-certified ambulatory care pharmacist, certified diabetes educator and has a master's degree in public health. Learn more about the services our team can provide to you.