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
December 1, 2021
Sleep Disorders Diagnosis and Treatment Medical Policy
Has been updated and changes go into effect on February 1, 2022. Click here for full details.
December 1, 2021
Medical Food for Inherited Metabolic Disease Medical Policy
The implementation of the January 1, 2022 updated policy has been delayed. We will provide advanced notice of a new effective date once it has been determined.
December 1, 2021
ClaimsXten-Select™ Upgrade February 1, 2022. Click here for full details.
November 12, 2021
Risk Coding Project
We have partnered with Reveleer again this year for medical records retrieval of 2021 claims identified in the risk coding project. If you receive a request from Reveleer, please be sure to respond promptly following the instructions they provide.
If you have any questions on the risk coding project, please contact our Risk Adjustment Department either by email at riskadjustment@bcbsvt.com or phone at (802) 371-3540.
November 11, 2021
Reminder - Providers using their Social Security Number as a Tax Identification Number for Billing
If you have not already filed the Employer Identification Number (EIN) paperwork with us, please file by January 1, 2022. The forms can be emailed back to providerfiles@bcbsvt.com. If you need another copy of the forms, please contact provider relations at providerrelations@bcbsvt.com or phone at (888) 449-0443 option 1.
IMPORTANT: The correct URL to obtain an Employer Identification Number (EIN) is irs.gov. DO NOT USE ANY OTHER URL TO OBTAIN your EIN. Please make sure you destroy the original July 6, 2021 notice - do not use the URL information.
November 5, 2021
Preventive Guide Update:
October 21, 2021
Payment Policy Notice
Our Temporary/Emergency Payment Policy for Telephone Services (CPP_24), set to expire on December 31, 2021, is extended and the policy has been updated effective January 1, 2022. The updated policy is available in the Medical Polices section of our Provider Policies webpage. Please review the updated policy as there are new billing requirements.
Our Temporary/Emergency Payment Policy for Telephone Triage Services (CPP_25) will expire on December 31, 2021.
October 21, 2021
Community Fee Schedule
The community reimbursement for telephone evaluation and management services, codes 99441, 99442 and 99443 will be adjusted on January 1, 2022. Please contact the provider relations team for details by email at providerrelations@bcbsvt.com or phone at (888) 449-0443 option 1.
October 21, 2021
New Website
Effective October 25, 2021, we are launching a new website, located at www.bluecrossvt.org. The new website will replace our existing website.
Our website will have improved functionality, retaining the same information you rely on to do business with us. You can access the Provider section on the new website using the top left-hand link on the homepage or by going to www.bluecrossvt.org/providers.
Please update any bookmarks you have created for our existing website. We will temporarily redirect existing links to the new website but encourage you to update bookmarks soon for the best experience with accessing information.
Please note the change is only for our public website. Our email addresses will remain the same. For example, providerrelations@bcbsvt.com remains correct.
October 15, 2021
ClaimsXten-Select™ Upgrade
We have tentatively scheduled an update to ClaimsXten-Select™ on Monday, November 1, 2021. This update will ensure that our version of the ClaimsXten-Select™ is current and aligns with industry standards. View the complete notice
October 4, 2021
Quality Improvement Policy – Site Visit and Medical Record Keeping
This policy has been updated, and the update policy can be found on our Provider Polices page under the Quality Improvement Policies section.
September 30, 2021
The Cytochrome P450 Genotype-Guided Treatment Strategy Medical Policy
This policy will be updated on December 1, 2021 view the full details.
September 22, 2021
UPDATE – New and Revised Medical Policies for October 1, 2021 and November 1, 2021
View updated document for details
August 20, 2021
Additional Medical Policy Revisions for November 1, 2021
URGENT UPDATE: Providers using their Social Security Number as their Tax Identification Number for Billing
There was an incorrect URL in our original letter and posting. DO NOT CLICK ON THE LINK OR ACCESS IT IN ANY WAY. Please visit https://www.irs.gov for more information about obtaining an EIN. View the revised posting
There is no cost in obtaining an EIN from the IRS. If you are being charged a fee, please validate you are accessing the IRS website.
- 12-01-21 Sleep Disorders Diagnosis and Treatment Medical Policy
- 12-01-21 ClaimsXten-Select™ Upgrade on February 1, 2022
- 10-28-21 Medical Food for Inherited Metabolic Disease Medical Policy
- 10-21-21 New website – www.bluecrossvt.org
- 10-21-21 Update on Telephone Services Payment Policy
- 10-14-21: ClaimsXten-Select™ Upgrade on November 1, 2021
- 10-14-21: COVID-19 Administration and Vaccine Billing
- 09-30-21: Cytochrome P450 Genotype-Guided Treatment Strategy Medical Policy Update for December 1, 2021
- 09-24-21: New & Revised Codes for October 1, 2021 (Adaptive Maintenance)
- 09-22-21: Updated New and Revised Medical Policies for October and November 1, 2021
- 09-21-21: COVID-19 Treatment Billing
- 08-27-21: Retroactive DME Unit Designation Changes
- 08-27-21: CPP_03 Frequency of Supplies effective September 1, 2021 for State of Vermont Employees
- 08-20-21: Additional Medical Policy Changes for November 1, 2021
- 08-18-21: Home Infusion Therapy Fee Review for October 1, 2021
- 06-25-21: New & Revised Codes for July 1, 2021 (Adaptive Maintenance)
- 06-25-21: Employer Identification Number required as of January 1, 2022
- 06-21-21: Extended Expiration Date of Temporary/Emergency Payment Policies
- 05-27-21: Revised Medical Policies for August 1, 2021
- 04-23-21: New and Revised Medical Policies for July 1, 2021
- 04-21-21: Dental Practice Clarification on contracting, claim submission and customer service
- 04-20-21: eQuote Guide Introduction and eQuote Guide Training
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 Yanicak, 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.