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.

IMPORTANTThe correct URL to obtain an Employer Identification Number (EIN) is irs.govDO 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

Review details


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.

 

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Provider Handbook

Access our Provider Handbook for a comprehensive reference of resources and requirements for Blue Cross providers.

Provider Handbook
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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.

Provider Prescription Support