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For Providers
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April 2025 |
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APRIL SPOTLIGHT |
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Welcome to Cigna Healthcare® Medicare Advantage‑Contracted Providers
Our acquisition of Cigna Healthcare’s Medicare Advantage business is finalized. We are pleased to partner with providers to support members’ care and are committed to a smooth transition. No changes to member benefits will happen in 2025. Learn more about the acquisition and what it means for you.
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BEHAVIORAL HEALTH |
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Quality Measures Track Treatment and Follow‑Up Visits for Substance Use Disorders
You can play an important role in members’ care by discussing the signs of substance use disorders and encouraging getting help, if appropriate. Review tips to close care gaps.
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CLAIMS AND ELIGIBILITY |
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Update Your Records with New Member ID Numbers
Newly enrolled members or members who have new benefit plans may have new ID numbers. Learn why it’s important to use the entire ID number, including the three‑character prefix, when checking eligibility and benefits and submitting claims.
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NETWORK PARTICIPATION |
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Watch for Our Annual Satisfaction Survey
The survey measures your satisfaction with Blue Cross and Blue Shield of Montana and identifies areas where we can refine. Learn how to participate.
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STANDARDS AND REQUIREMENTS |
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Review Updates to Coding and Compensation Policies
We regularly add and modify our Coding and Compensation Policies as part of our ongoing policy review. You can access new or revised policies in Availity® Essentials through the Plan Documents Viewer application, in the category Coding and Compensation Policies. See which policies were updated and when.
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Review Medical Policy Updates
Approved new or revised medical policies and their effective dates are usually posted on our website the first and 15th of each month. You can view all active and pending policies, as well as draft medical policies, and provide comments on draft policies. These policies may impact your reimbursement and your patients’ benefits.
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Contact Us
Contact information for Network Representatives and other resources is on our website.
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Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
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3645 Alice St., Helena, MT 59601
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