J.D. Power Study Ranks Louisiana Blue No. 1 in Member Satisfaction

The ranking is based on the feedback and experiences of health plan members in Alabama, Kentucky, Louisiana, Mississippi and Tennessee.

Consider Medical Needs, Plans and More as Hurricane Season Begins

Hurricane season is always a prime focus for people in Louisiana.

HEDIS^® Spotlight

This spotlight article provides key details of the Healthcare Effectiveness Data and Information Set (HEDIS) measure for colorectal cancer screening.

What Can iLinkBlue Do For You?

iLinkBlue is Louisiana Blue’s secure online provider tool for eligibility and coverage verification, claims filing and review, payment queries and transactions, medical policies and more.

Medical Policy Update

We regularly develop and revise medical policies in response to changing medical technology. Benefit determinations are made based on the medical policy in effect at the time of the provision of services. Please view the following updated and new medical policies, all of which can be found on our Provider page at www.lablue.com/providers, under “Medical Management,” click “Medical Policies.”

Important Contact Information

Authorizations

See member’s ID card

BlueCard^® Eligibility

1-800-676-BLUE (1-800-676-2583)

FEP 1-800-272-3029

Fraud & Abuse

1-800-392-9249

fraud@lablue.com

Provider Relations

provider.relations@lablue.com

iLinkBlue & EDI

EDIservices@lablue.com

1-800-716-2299, Opt. 3

PCDM

1-800-716-2299, Opt. 2

Customer Care Center

1-800-922-8866

Claims Filing Address

P.O. Box 98029 Baton Rouge, LA 70809

Past Issues of Provider Newsletter

The content in this newsletter may not be applicable for Blue Advantage (HMO) and Blue Advantage (PPO), our Medicare Advantage products and provider networks. For Blue Advantage, we follow CMS guidelines, which are outlined in the Blue Advantage (HMO) | Blue Advantage (PPO) Provider Administration Manual, available on the Blue Advantage Provider Portal through iLinkBlue (www.lablue.com/ilinkblue).

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).