Louisiana Blue Names Brian P. Keller President and Chief Executive Officer

The Blue Cross and Blue Shield of Louisiana (Louisiana Blue) Board of Directors today announced that Brian P. Keller has been named President and Chief Executive Officer (CEO), effective Dec. 1. Keller will succeed Bryan Camerlinck, who announced his planned retirement earlier this year.

Louisiana Blue Foundation Announces 2026 Honorees for The Angel Award^®

The Louisiana Blue Foundation is proud to announce the 2026 honorees for The Angel Award^®. For the past 32 years, this annual honor recognizes everyday Louisianians who have distinguished themselves by improving the health and well-being of our state's children.

Louisiana Blue Will End Informal Reconsideration Process

Effective Jan. 1, 2027, Louisiana Blue will discontinue the informal reconsideration process. Beginning on this date, providers will no longer be able to request an informal reconsideration of an adverse utilization management determination.

When additional review is requested following an adverse determination (denial), providers should follow the applicable peer-to-peer and appeals process outlined in the denial notification.

Important Notes for ABA Providers

Providers seeking prior authorization for Applied Behavioral Analysis (ABA) services from Louisiana Blue should read these tips.

HEDIS^® Tips for Wellness Visits

Important HEDIS notes for primary care provider visits with both adults and children.

Behavioral Health Follow-up Appointments

Louisiana Blue coordinates with providers and facilities for long-term success of patients discharged from inpatient behavioral health settings.

Reminder: MyLABlue Is Available

Remind your patients that MyLABlue is available and remains a great tool to stay informed and simplify their healthcare experience.

This innovative digital platform and app are available for both commercial and Blue Advantage members. MyLABlue puts everything they need at their fingertips — they can access it online at www.lablue.com, through the MyLABlue app or via their MyChart account.

With MyLABlue, members have everything they need in one place. Members can:

View their health plan information at a glance
Access their digital ID cards
Find doctors and care options in their network
Check certain prior authorizations
Message Customer Service securely
Pay insurance premiums
Share their health information with a family member, caretaker or authorized delegate

MyLABlue is available for both Apple and Android users.

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 webpage 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).