Keep Adult Immunizations in Mind

October to May to cold and flu season. In Louisiana, the most illnesses typically occur from December to March, according to the state Department of Health.

Our QB-CAP Program

Blue Advantage’s Quality Blue – Condition Assessment Program (QB-CAP) continues to offer opportunities to assess the identified health conditions of your patients.

New to Blue Advantage Webinar in October

Blue Advantage will host our New to Blue Advantage provider webinar on Wednesday, Oct. 15.

Looking for Resources?

Blue Advantage consistently reviews and updates its provider resource materials. This ensures that you have access to current information. We have our Blue Advantage Resources page, which can be accessed through the Blue Advantage Provider Portal, under “Blue Advantage Resources.”

Blue Advantage Medical Policy Update

We 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 review the following medical policies, all of which can be found on our Blue Advantage Resource Page at www.lablue.com/providers, click “Go to BA Resources” at the bottom of the screen, and then the “New/Revised Medicare Advantage Medical Policies” tab.

Important Contact Information

Authorizations (including Case and Medical Management)

1-866-508-7145, choose option 3, then option 3

Behavioral Health

1-866-508-7145, choose option 3, then option 3

Blue Advantage Customer Service

1-866-508-7145 customerservice@blueadvantage.lablue.com

Blue Advantage Provider Portal

1-866-508-7145, choose option 3, then option 2

Provider Credentialing and Data Management

1-800-716-2299, option 2 (provider record information) PCDMstatus@lablue.com

Pharmacy

1-800-935-6103/TTY:711

The Blue Advantage Insight Newsletter is an email-only newsletter designed to keep our Blue Advantage network providers informed and engaged on the latest news and the Centers for Medicare and Medicaid Services (CMS) requirements for our Medicare-eligible members.

The goal of the publication is to help providers and office staff who serve our Blue Advantage members understand how Blue Advantage differs from our other provider networks.

Past Issues of Blue Advantage Insight Newsletter

Visit the Blue Advantage Resources page to view reference materials, forms, past webinar and workshop slides, plus copies of this newsletter. Go to https://providers.lablue.com/ba-resources.

Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross Blue Shield Association.

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