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STAY WITH BLUE
It’s important you contact the Marketplace before the Open Enrollment Period ends on December 15, 2020. To update your 2021 information you can visit the Marketplace website or call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325).TELEMEDICINE
Connect with a Customer Advocate to check eligibility and telemedicine benefits by calling our Provider Customer Service Center at 1-800-451-0287. For Medicare Advantage members, call Blue Cross Medicare Advantage Network Management at 972-766-7100. By clicking this link, you will go to a new website/app (“site”). ANCILLARY | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner. STANDARDS AND REQUIREMENTS Blue Cross and Blue Shield of Oklahoma is working with you to keep your patients healthy. For nearly 70 years, the high-quality care given to our members by our physicians and providers has helped us improve the health of the people we serve. Explore the Medical and Pharmacy Policies that are used as guidelines to determine coverage inbenefits programs.
NATIONAL DRUG CODE (NDC) UNITS CALCULATOR TOOL VIA AVAILITY National Drug Code (NDC) Units Calculator Tool via Availity ®. The NDC Units Calculator is a user-friendly online tool that allows providers to convert applicable classified or specified Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT ®) codes to NDC units.This tool (also known as RC Claim Assist TM) is hosted by RJ Health Systems, an independent ALERTS AND ANNOUNCEMENTS Blue Cross and Blue Shield of Oklahoma (BCBSOK) will provide MLR rebates in the Oklahoma individual and small group markets for the 2018 MLR reporting year. INSTRUCTIONS FOR SUBMITTING REQUESTS FOR PREDETERMINATIONS Instructions for Submitting REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if aIOP REUEST FORM
Intensive Outpatient Program (IOP) IOP REUEST FORM 3. Progress on treatment goals and barriers to progress A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Oklahoma, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options. LOG IN | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.STAY WITH BLUE
It’s important you contact the Marketplace before the Open Enrollment Period ends on December 15, 2020. To update your 2021 information you can visit the Marketplace website or call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325).TELEMEDICINE
Connect with a Customer Advocate to check eligibility and telemedicine benefits by calling our Provider Customer Service Center at 1-800-451-0287. For Medicare Advantage members, call Blue Cross Medicare Advantage Network Management at 972-766-7100. By clicking this link, you will go to a new website/app (“site”). ANCILLARY | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner. STANDARDS AND REQUIREMENTS Blue Cross and Blue Shield of Oklahoma is working with you to keep your patients healthy. For nearly 70 years, the high-quality care given to our members by our physicians and providers has helped us improve the health of the people we serve. Explore the Medical and Pharmacy Policies that are used as guidelines to determine coverage inbenefits programs.
NATIONAL DRUG CODE (NDC) UNITS CALCULATOR TOOL VIA AVAILITY National Drug Code (NDC) Units Calculator Tool via Availity ®. The NDC Units Calculator is a user-friendly online tool that allows providers to convert applicable classified or specified Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT ®) codes to NDC units.This tool (also known as RC Claim Assist TM) is hosted by RJ Health Systems, an independent ALERTS AND ANNOUNCEMENTS Blue Cross and Blue Shield of Oklahoma (BCBSOK) will provide MLR rebates in the Oklahoma individual and small group markets for the 2018 MLR reporting year. INSTRUCTIONS FOR SUBMITTING REQUESTS FOR PREDETERMINATIONS Instructions for Submitting REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if aIOP REUEST FORM
Intensive Outpatient Program (IOP) IOP REUEST FORM 3. Progress on treatment goals and barriers to progress A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association COVID-19 | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Disclaimer *myStrength is an independent website for Behavioral Health sponsored by Livongo. You acknowledge that you are voluntarily accessing and using the resources found on the site and consent that Livongo may provide Blue Cross and Blue Shield of Oklahoma with an aggregate number of individuals who accessed the website link.WHAT'S COVERED
COVID-19 Coverage for Members. Your health is always our priority. Your Blue Cross and Blue Shield of Oklahoma (BCBSOK) health plan gives you access to the care you need during the COVID-19 pandemic. With a BCBSOK health plan, you have access to care for COVID-19 related health issues. Use the doctors, labs and facilities in your BCBSOKhealth
CATCH UP NOW ON CHILD AND ADOLESCENT VACCINATIONS Due to COVID-19, children and adolescents have fallen behind on receiving recommended vaccines. The Centers for Disease Control and Prevention (CDC) recommends that children get caught up now with vaccinations so that they're protected as they return to in-person learning. We encourage providers to schedule catch-up vaccinations as soon as possible and prepare for COVID-19 vaccine SIGN IN - BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Sign in. Sign in now with your Blue Cross and Blue Shield of Oklahoma user name. Sign in name Password Remember me STANDARDS AND REQUIREMENTS Blue Cross and Blue Shield of Oklahoma is working with you to keep your patients healthy. For nearly 70 years, the high-quality care given to our members by our physicians and providers has helped us improve the health of the people we serve. Explore the Medical and Pharmacy Policies that are used as guidelines to determine coverage inbenefits programs.
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Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for OK health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com. HEALTH CARE PROVIDER FORMS Claims. Complete and mail to assure timely payment of submitted claims. This guide will help providers complete the CMS-1500 (08/05) form for patients with Blue Cross and Shield of Oklahoma insurance. This guide will help providers complete the UB-04 GET YOUR 2021 HEALTH CARE PLAN Our 2021 health plans are grouped into 3 metallic levels - bronze, silver and gold. Each level offers different: Premium costs. Deductibles. Copayments. Coinsurance. All our health plans cover the essential health benefits that short-term plans may not include. Our brochure can also help you pick the best plan for your health carecoverage.
SUMMARY OF BENEFITS AND COVERAGE Summary of Benefits and Coverage. Thank you for your interest in Blue Cross and Blue Shield of Oklahoma. To help you make an informed choice about your health care coverage, we are providing Summary of Benefits and Coverage (SBC) documents for each of our plans. BCBSOK SELECTED AS CARRIER FOR SOONERSELECT MEDICAID PROGRAM Lee esto en Español. TULSA, Oklahoma — Blue Cross and Blue Shield of Oklahoma (BCBSOK) is pleased to be selected to participate in the SoonerSelect Medicaid program.. This award is a significant achievement as it provides BCBSOK’s entry into the managed care space while aligning with the company’s long-term strategy and mission to expand access to quality care, regardless of an HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMAINSURANCE BASICSSHOP PLANS & PRODUCTSFIND A DOCTORMEMBER SERVICESIMPORTANT INFORMATION Buy health insurance from BCBSOK. We offer individual, family and Medicare supplement plans for your health care needs, so get your freequote today.
LOG IN | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.STAY WITH BLUE
When you get your personalized health packet in the mail, you can review important sections like: Your 2021 Health Plan – highlights any changes to your current plan for next year; Benefit Changes – shows your 2021 benefit and out-of-pocket cost updates; Pharmacy Information and Prescription Drug Changes – features 2021 prescription benefit changes HEALTH CARE PROVIDER TOOLS Blue Cross Blue Shield of Oklahoma is committed to giving health care providers the support and assistance they need. Explore tools designedto help health care
ANCILLARY | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Protection When You Need It Most. While we all know having health insurance is important, it's not always enough. We designed our ancillary products and services to complement your medical coverage and provide additional financial protection for you and your family.EMPLOYER LOG IN
Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for OK health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com. AMERICAN INDIAN OUTREACH Blue Cross and Blue Shield of Oklahoma (BCBSOK) is dedicated to building strong relationships with the 38 federally-recognized tribes and other tribal-serving organizations throughout Oklahoma. NATIONAL DRUG CODE (NDC) UNITS CALCULATOR TOOL VIA AVAILITY National Drug Code (NDC) Units Calculator Tool via Availity ®. The NDC Units Calculator is a user-friendly online tool that allows providers to convert applicable classified or specified Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT ®) codes to NDC units.This tool (also known as RC Claim Assist TM) is hosted by RJ Health Systems, an independent MEDICAL RECORD REQUESTS: INCLUDE OUR LETTER AS YOUR COVER Medical Record Requests: Include Our Letter as Your Cover Sheet. When you receive a letter from Blue Cross and Blue Shield of Oklahoma (BCBSOK) requesting additional information such as medical records or certificates of medical necessity, please utilize the letter as a cover sheet when sending the requested information to us. CORRECTED CLAIM FORM Corrected Claim Form This form is only to be used to make corrections to a previously adjudicated claim when you are unable to submit the corrections electronically. HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMAINSURANCE BASICSSHOP PLANS & PRODUCTSFIND A DOCTORMEMBER SERVICESIMPORTANT INFORMATION Buy health insurance from BCBSOK. We offer individual, family and Medicare supplement plans for your health care needs, so get your freequote today.
LOG IN | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.STAY WITH BLUE
When you get your personalized health packet in the mail, you can review important sections like: Your 2021 Health Plan – highlights any changes to your current plan for next year; Benefit Changes – shows your 2021 benefit and out-of-pocket cost updates; Pharmacy Information and Prescription Drug Changes – features 2021 prescription benefit changes HEALTH CARE PROVIDER TOOLS Blue Cross Blue Shield of Oklahoma is committed to giving health care providers the support and assistance they need. Explore tools designedto help health care
ANCILLARY | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Protection When You Need It Most. While we all know having health insurance is important, it's not always enough. We designed our ancillary products and services to complement your medical coverage and provide additional financial protection for you and your family.EMPLOYER LOG IN
Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for OK health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com. AMERICAN INDIAN OUTREACH Blue Cross and Blue Shield of Oklahoma (BCBSOK) is dedicated to building strong relationships with the 38 federally-recognized tribes and other tribal-serving organizations throughout Oklahoma. NATIONAL DRUG CODE (NDC) UNITS CALCULATOR TOOL VIA AVAILITY National Drug Code (NDC) Units Calculator Tool via Availity ®. The NDC Units Calculator is a user-friendly online tool that allows providers to convert applicable classified or specified Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT ®) codes to NDC units.This tool (also known as RC Claim Assist TM) is hosted by RJ Health Systems, an independent MEDICAL RECORD REQUESTS: INCLUDE OUR LETTER AS YOUR COVER Medical Record Requests: Include Our Letter as Your Cover Sheet. When you receive a letter from Blue Cross and Blue Shield of Oklahoma (BCBSOK) requesting additional information such as medical records or certificates of medical necessity, please utilize the letter as a cover sheet when sending the requested information to us. CORRECTED CLAIM FORM Corrected Claim Form This form is only to be used to make corrections to a previously adjudicated claim when you are unable to submit the corrections electronically. CATCH UP NOW ON CHILD AND ADOLESCENT VACCINATIONS Due to COVID-19, children and adolescents have fallen behind on receiving recommended vaccines. The Centers for Disease Control and Prevention (CDC) recommends that children get caught up now with vaccinations so that they're protected as they return to in-person learning. We encourage providers to schedule catch-up vaccinations as soon as possible and prepare for COVID-19 vaccine HEALTH CARE PROVIDER TOOLS Blue Cross Blue Shield of Oklahoma is committed to giving health care providers the support and assistance they need. Explore tools designedto help health care
TELEMEDICINE
Telemedicine. In response to the COVID-19 pandemic, Blue Cross and Blue Shield of Oklahoma (BCBSOK) expanded access to telemedicineservices to
PPO | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Learn about the difference between HMO and PPO. Also learn about Consumer Directed Health Plans (CDHPs) and Health Savings Accounts(HSA).
SPECIALTY PHARMACY PROGRAM This program helps members obtain specialty medications. These specialty medications may treat patients’ complex medical conditions, including but not limited to, immune deficiency, multiple sclerosis and rheumatoid arthritis. CAREERS | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Search Job Openings. Blue Cross and Blue Shield of Oklahoma (BCBSOK) is proud to offer career opportunities that will allow you to fulfill your goals for a challenging and rewarding career. CLEAR CLAIM CONNECTION Print Clear Claim Connection TM. Clear Claim Connection – C3 – is a free online reference tool that mirrors the logic behind BCBSOK’s code-auditing software, ClaimsXten TM.You can use C3 to help determine how coding combinations on a particular claim may be evaluated during the adjudication process.. To gain access to C3, you must be a registered Availity ® Provider Portal user. NATIONAL DRUG CODE (NDC) UNITS CALCULATOR TOOL VIA AVAILITY National Drug Code (NDC) Units Calculator Tool via Availity ®. The NDC Units Calculator is a user-friendly online tool that allows providers to convert applicable classified or specified Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT ®) codes to NDC units.This tool (also known as RC Claim Assist TM) is hosted by RJ Health Systems, an independentBASIC DRUG LIST
Blue Cross and Blue Shield April 2021 Basic Drug List I Introduction . Blue Cross and Blue Shield is pleased to present the 2021 Drug List. This is a list of preferred drugs which ALERTS AND ANNOUNCEMENTS Blue Cross and Blue Shield of Oklahoma (BCBSOK) will provide MLR rebates in the Oklahoma individual and small group markets for the 2018 MLR reporting year. HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Oklahoma, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options. LOG IN | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.STAY WITH BLUE
It’s important you contact the Marketplace before the Open Enrollment Period ends on December 15, 2020. To update your 2021 information you can visit the Marketplace website or call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325). ANCILLARY | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner. EMPLOYERS - BLUE CROSS BLUE SHIELD OF OKLAHOMA Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for OK health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com. VIEW PROFESSIONAL PROVIDER FEE SCHEDULE VIA AVAILITY Fee schedules are a key component of your contractual relationship with Blue Cross and Blue Shield of Oklahoma (BCBSOK). To ensure you have this information quickly, BCBSOK is implementing a new online Fee Schedule viewer tool via the Availity Provider Portal for participating professional providers.BASIC DRUG LIST
Blue Cross and Blue Shield April 2021 Basic Drug List I Introduction . Blue Cross and Blue Shield is pleased to present the 2021 Drug List. This is a list of preferred drugs which INSTRUCTIONS FOR SUBMITTING REQUESTS FOR PREDETERMINATIONS Instructions for Submitting REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if a ADDITIONAL INFORMATION FORM Additional Information Form Additional Information requested may be submitted with the letter received or this form. DO NOT USE THIS FORM UNLESS YOU HAVE RECEIVED A REQUEST FOR INFORMATION. CORRECTED CLAIM FORM Corrected Claim Form This form is only to be used to make corrections to a previously adjudicated claim when you are unable to submit the corrections electronically. HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Oklahoma, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options. LOG IN | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.STAY WITH BLUE
It’s important you contact the Marketplace before the Open Enrollment Period ends on December 15, 2020. To update your 2021 information you can visit the Marketplace website or call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325). ANCILLARY | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner. EMPLOYERS - BLUE CROSS BLUE SHIELD OF OKLAHOMA Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for OK health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com. VIEW PROFESSIONAL PROVIDER FEE SCHEDULE VIA AVAILITY Fee schedules are a key component of your contractual relationship with Blue Cross and Blue Shield of Oklahoma (BCBSOK). To ensure you have this information quickly, BCBSOK is implementing a new online Fee Schedule viewer tool via the Availity Provider Portal for participating professional providers.BASIC DRUG LIST
Blue Cross and Blue Shield April 2021 Basic Drug List I Introduction . Blue Cross and Blue Shield is pleased to present the 2021 Drug List. This is a list of preferred drugs which INSTRUCTIONS FOR SUBMITTING REQUESTS FOR PREDETERMINATIONS Instructions for Submitting REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if a ADDITIONAL INFORMATION FORM Additional Information Form Additional Information requested may be submitted with the letter received or this form. DO NOT USE THIS FORM UNLESS YOU HAVE RECEIVED A REQUEST FOR INFORMATION. CORRECTED CLAIM FORM Corrected Claim Form This form is only to be used to make corrections to a previously adjudicated claim when you are unable to submit the corrections electronically. CATCH UP NOW ON CHILD AND ADOLESCENT VACCINATIONS Due to COVID-19, children and adolescents have fallen behind on receiving recommended vaccines. The Centers for Disease Control and Prevention (CDC) recommends that children get caught up now with vaccinations so that they're protected as they return to in-person learning. We encourage providers to schedule catch-up vaccinations as soon as possible and prepare for COVID-19 vaccine HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Blue Cross and Blue Shield of Oklahoma (BCBSOK) is a leader in individual and family health insurance plans in Oklahoma, providing outstanding coverage and service.EMPLOYER LOG IN
Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for OK health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com. ALL BLUE CROSS AND BLUE SHIELD OF OKLAHOMA (BCBSOK) PLANS Gold Blue Preferred Gold PPO SMBlue Advantage Gold PPO 205 309 Individual Deductible 2 $500 $1,200 Coinsurance 40% 25% Out-of-Pocket Maximum (includes deductible) 2 $8,550 $8,550 Primary Care Office Visit $60 copay $25 copay Specialist Office Visit 40% 25% SUMMARY OF BENEFITS AND COVERAGE Summary of Benefits and Coverage. Thank you for your interest in Blue Cross and Blue Shield of Oklahoma. To help you make an informed choice about your health care coverage, we are providing Summary of Benefits and Coverage (SBC) documents for each of our plans.BASIC DRUG LIST
Blue Cross and Blue Shield April 2021 Basic Drug List I Introduction . Blue Cross and Blue Shield is pleased to present the 2021 Drug List. This is a list of preferred drugs which AMERICAN INDIAN OUTREACH American Indian Outreach. Blue Cross and Blue Shield of Oklahoma (BCBSOK) is dedicated to building strong relationships with the 38 federally-recognized tribes and other tribal-serving organizations throughout Oklahoma. BCBSOK is committed to investing in health-related programs and will work along-side Tribal partners to accomplish these goals GROUP ENROLLMENT APPLICATION/CHANGE FORM Forms referenced above may be obtained by accessing the Blue Cross and Blue Shield of Oklahoma website at . bcbsok.com, or from your employer. If you are a current member and have questions, you may alsocall the Customer
CLAIM REVIEW FORM
Title: 2058304_604530.1120_OK_Provider Communications_OK Contracted Provider Claim Review Form.indd Created Date: 11/24/2020 11:29:21 AM ALERTS AND ANNOUNCEMENTS Blue Cross and Blue Shield of Oklahoma (BCBSOK) will provide MLR rebates in the Oklahoma individual and small group markets for the 2018 MLR reporting year. HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Oklahoma, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options. LOG IN | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.STAY WITH BLUE
It’s important you contact the Marketplace before the Open Enrollment Period ends on December 15, 2020. To update your 2021 information you can visit the Marketplace website or call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325). ANCILLARY | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner. EMPLOYERS - BLUE CROSS BLUE SHIELD OF OKLAHOMA Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for OK health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com. VIEW PROFESSIONAL PROVIDER FEE SCHEDULE VIA AVAILITY Fee schedules are a key component of your contractual relationship with Blue Cross and Blue Shield of Oklahoma (BCBSOK). To ensure you have this information quickly, BCBSOK is implementing a new online Fee Schedule viewer tool via the Availity Provider Portal for participating professional providers.BASIC DRUG LIST
Blue Cross and Blue Shield April 2021 Basic Drug List I Introduction . Blue Cross and Blue Shield is pleased to present the 2021 Drug List. This is a list of preferred drugs which INSTRUCTIONS FOR SUBMITTING REQUESTS FOR PREDETERMINATIONS Instructions for Submitting REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if a ADDITIONAL INFORMATION FORM Additional Information Form Additional Information requested may be submitted with the letter received or this form. DO NOT USE THIS FORM UNLESS YOU HAVE RECEIVED A REQUEST FOR INFORMATION. CORRECTED CLAIM FORM Corrected Claim Form This form is only to be used to make corrections to a previously adjudicated claim when you are unable to submit the corrections electronically. HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Pharmacy and Prescription Plans. If you have prescription drug coverage through Blue Cross and Blue Shield of Oklahoma, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. You have choices for where you get non-emergency care — what we call SmartER Care options. LOG IN | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.STAY WITH BLUE
It’s important you contact the Marketplace before the Open Enrollment Period ends on December 15, 2020. To update your 2021 information you can visit the Marketplace website or call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325). ANCILLARY | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Our ancillary products are designed to enhance your group's benefits package. They help meet the benefits needs of employers while providing maximum flexibility to employees. Products and Services. Ancillary Producers Corner. Prospective Producers. Forms. Log in to Ancillary Producers Corner. EMPLOYERS - BLUE CROSS BLUE SHIELD OF OKLAHOMA Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for OK health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com. VIEW PROFESSIONAL PROVIDER FEE SCHEDULE VIA AVAILITY Fee schedules are a key component of your contractual relationship with Blue Cross and Blue Shield of Oklahoma (BCBSOK). To ensure you have this information quickly, BCBSOK is implementing a new online Fee Schedule viewer tool via the Availity Provider Portal for participating professional providers.BASIC DRUG LIST
Blue Cross and Blue Shield April 2021 Basic Drug List I Introduction . Blue Cross and Blue Shield is pleased to present the 2021 Drug List. This is a list of preferred drugs which INSTRUCTIONS FOR SUBMITTING REQUESTS FOR PREDETERMINATIONS Instructions for Submitting REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if a ADDITIONAL INFORMATION FORM Additional Information Form Additional Information requested may be submitted with the letter received or this form. DO NOT USE THIS FORM UNLESS YOU HAVE RECEIVED A REQUEST FOR INFORMATION. CORRECTED CLAIM FORM Corrected Claim Form This form is only to be used to make corrections to a previously adjudicated claim when you are unable to submit the corrections electronically. CATCH UP NOW ON CHILD AND ADOLESCENT VACCINATIONS Due to COVID-19, children and adolescents have fallen behind on receiving recommended vaccines. The Centers for Disease Control and Prevention (CDC) recommends that children get caught up now with vaccinations so that they're protected as they return to in-person learning. We encourage providers to schedule catch-up vaccinations as soon as possible and prepare for COVID-19 vaccine HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Blue Cross and Blue Shield of Oklahoma (BCBSOK) is a leader in individual and family health insurance plans in Oklahoma, providing outstanding coverage and service.EMPLOYER LOG IN
Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for OK health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com. ALL BLUE CROSS AND BLUE SHIELD OF OKLAHOMA (BCBSOK) PLANS Gold Blue Preferred Gold PPO SMBlue Advantage Gold PPO 205 309 Individual Deductible 2 $500 $1,200 Coinsurance 40% 25% Out-of-Pocket Maximum (includes deductible) 2 $8,550 $8,550 Primary Care Office Visit $60 copay $25 copay Specialist Office Visit 40% 25% SUMMARY OF BENEFITS AND COVERAGE Summary of Benefits and Coverage. Thank you for your interest in Blue Cross and Blue Shield of Oklahoma. To help you make an informed choice about your health care coverage, we are providing Summary of Benefits and Coverage (SBC) documents for each of our plans.BASIC DRUG LIST
Blue Cross and Blue Shield April 2021 Basic Drug List I Introduction . Blue Cross and Blue Shield is pleased to present the 2021 Drug List. This is a list of preferred drugs which AMERICAN INDIAN OUTREACH American Indian Outreach. Blue Cross and Blue Shield of Oklahoma (BCBSOK) is dedicated to building strong relationships with the 38 federally-recognized tribes and other tribal-serving organizations throughout Oklahoma. BCBSOK is committed to investing in health-related programs and will work along-side Tribal partners to accomplish these goals GROUP ENROLLMENT APPLICATION/CHANGE FORM Forms referenced above may be obtained by accessing the Blue Cross and Blue Shield of Oklahoma website at . bcbsok.com, or from your employer. If you are a current member and have questions, you may alsocall the Customer
CLAIM REVIEW FORM
Title: 2058304_604530.1120_OK_Provider Communications_OK Contracted Provider Claim Review Form.indd Created Date: 11/24/2020 11:29:21 AM ALERTS AND ANNOUNCEMENTS Blue Cross and Blue Shield of Oklahoma (BCBSOK) will provide MLR rebates in the Oklahoma individual and small group markets for the 2018 MLR reporting year. HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Buy health insurance from BCBSOK. We offer individual, family and Medicare supplement plans for your health care needs, so get your freequote today.
BLUE CROSS BLUE SHIELD OF OKLAHOMA Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for Oklahoma health insurance plans including individual and family health insurance, Medicare supplement, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com.MEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Oklahoma (BCBSOK) member services. Learn how to make a payment, all about your prescription coverage, and more. HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Blue Cross and Blue Shield of Oklahoma (BCBSOK) is a leader in individual and family health insurance plans in Oklahoma, providing outstanding coverage and service. LOG IN | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience. SIGN IN - BLUE CROSS AND BLUE SHIELD OF OKLAHOMA - BCBSOK Sign in. Sign in now with your Blue Cross and Blue Shield of Oklahoma user name. Sign in name Password Remember me HEALTH CARE PROVIDER TOOLS Blue Cross Blue Shield of Oklahoma is committed to giving health care providers the support and assistance they need. Explore tools designedto help health care
AMERICAN INDIAN OUTREACH Blue Cross and Blue Shield of Oklahoma (BCBSOK) is dedicated to building strong relationships with the 38 federally-recognized tribes and other tribal-serving organizations throughout Oklahoma. ADDITIONAL INFORMATION FORM Additional Information Form Additional Information requested may be submitted with the letter received or this form. DO NOT USE THIS FORM UNLESS YOU HAVE RECEIVED A REQUEST FOR INFORMATION. INSTRUCTIONS FOR SUBMITTING REQUESTS FOR PREDETERMINATIONS Instructions for Submitting REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if a HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Buy health insurance from BCBSOK. We offer individual, family and Medicare supplement plans for your health care needs, so get your freequote today.
BLUE CROSS BLUE SHIELD OF OKLAHOMA Blue Cross Blue Shield of Oklahoma - Health Insurance Oklahoma. Get a free instant rate quote and apply online today for Oklahoma health insurance plans including individual and family health insurance, Medicare supplement, short term health insurance and health savings account (HSA) compatible plans at www.bcbsok.com.MEMBER SERVICES
Take full advantage of your Blue Cross and Blue Shield of Oklahoma (BCBSOK) member services. Learn how to make a payment, all about your prescription coverage, and more. HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Blue Cross and Blue Shield of Oklahoma (BCBSOK) is a leader in individual and family health insurance plans in Oklahoma, providing outstanding coverage and service. LOG IN | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience. SIGN IN - BLUE CROSS AND BLUE SHIELD OF OKLAHOMA - BCBSOK Sign in. Sign in now with your Blue Cross and Blue Shield of Oklahoma user name. Sign in name Password Remember me HEALTH CARE PROVIDER TOOLS Blue Cross Blue Shield of Oklahoma is committed to giving health care providers the support and assistance they need. Explore tools designedto help health care
AMERICAN INDIAN OUTREACH Blue Cross and Blue Shield of Oklahoma (BCBSOK) is dedicated to building strong relationships with the 38 federally-recognized tribes and other tribal-serving organizations throughout Oklahoma. ADDITIONAL INFORMATION FORM Additional Information Form Additional Information requested may be submitted with the letter received or this form. DO NOT USE THIS FORM UNLESS YOU HAVE RECEIVED A REQUEST FOR INFORMATION. INSTRUCTIONS FOR SUBMITTING REQUESTS FOR PREDETERMINATIONS Instructions for Submitting REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if a HOME | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Blue Cross and Blue Shield of Oklahoma (BCBSOK) is a leader in individual and family health insurance plans in Oklahoma, providing outstanding coverage and service. SIGN IN - BLUE CROSS AND BLUE SHIELD OF OKLAHOMA - BCBSOK Sign in. Sign in now with your Blue Cross and Blue Shield of Oklahoma user name. Sign in name Password Remember me FIND A DOCTOR OR HOSPITAL Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. We apologize for any inconvenience.STAY WITH BLUE
If you had financial help in 2020, you may be at risk of losing your subsidy in 2021. The Health Insurance Marketplace can let you know what steps you may need to take to get or keep your financial help in 2021. It’s important you contact the Marketplace before the Open Enrollment Period ends onPAY MY BILL
Pay my monthly premium bill for Blue Cross and Blue Shield of Oklahoma (BCBSIL). There are several ways to make your health insurancepayment.
HEALTH CARE PROVIDER FORMS Blue Cross Blue Shield of Oklahoma is committed to giving health care providers with the support and assistance they need. Access and download these helpful BCBSOK health care provider forms. CAREERS | BLUE CROSS AND BLUE SHIELD OF OKLAHOMA Search Job Openings. Blue Cross and Blue Shield of Oklahoma (BCBSOK) is proud to offer career opportunities that will allow you to fulfill your goals for a challenging and rewarding career. FORMULARY AND PHARMACY INFORMATION Blue Cross Blue Shield of Oklahoma is committed to giving health care providers the support and assistance they need. View BSBSOK formularylists,
HOW TO JOIN OUR NETWORKS Credentialing is the process by which Blue Cross and Blue Shield of Oklahoma (BCBSOK) reviews and validates the professional qualifications of physicians and certain other providers who apply for participation with our health care organization, ensuring that they meet the professional standards. INSTRUCTIONS FOR SUBMITTING REQUESTS FOR PREDETERMINATIONS Instructions for Submitting REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if a*
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MEN’S HEALTH: SIGNS OF A SILENT HEART ATTACK Silent heart attacks are often mistaken for less serious problems. Don’t be someone who waits too long before getting help. Knowing the signs and taking them seriously can save your life. PRIOR AUTHORIZATION: WHAT YOU NEED TO KNOW Understanding your health insurance is the best way to enjoy all its benefits. One important step you may need to take before treatment is prior authorization. Learn why it matters. GO DIGITAL WITH THE BCBSOK MOBILE APP Wish you didn’t get so much paper in the mail? Go digital and download the BCBSOK Mobile App now. The BCBSOK App is available for iPhone and Android users.RESOURCES
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In today's dynamic environment change is the only constant. Not to worry though, because Blue Access for Employers makes managing your company's health benefits quick and easy. Blue Access for Employers offers you the convenience and security of a full featured online tool. You'll find it easy to navigate through the site for helpful information to manage your account, make membership changes, and support your employee benefits program. Want to learn more about the features within Blue Access for Employers? Let's get started. The first feature that you'll want to check out is the security manager, which helps you manage your user access privileges. Use the security manager to add and delete authorized users, assign security permissions, and reset passwords, as needed. Now that your permissions are in place, use our employee maintenance tools to tackle that to do list even more quickly. You can enroll an employee, add dependents, cancel employees or dependents, request ID cards, change benefit plans, update employee information, and complete COBRA enrollments. All these actions can be completed in a few clicks. You'll want to be sure to take advantage of our billing features that put you in control. It's easy to access your summary information through our billing navigation. , Also, you can view, print, download, and reconcile your statements in an instant. And because we're committed to doing our share to help make this a greener planet, our online payments are paper free, fast, and secure. There are many day-to-day tasks and interruptions that require your attention at work. Not a problem with Blue Access for Employers. We make it easy for you to pick up where you left off, by using the recent activity launchpad to track your five most recent transactions. Keep in mind that Blue Access for Employers can do more than help you manage your account. It's a resource for you to find up-to-date employer news and materials you can use to support the well-being ofyour employees.
We're always looking out for your company's bottom line as well. That's why Blue Access includes reporting tools designed to help you track and better control your health care spending. If you have any questions or need assistance, Blue Access for Employers puts the power of searching at your fingertips. Our form finder can retrieve your often used forms in an instant. The Help Center, which features an FAQ section, glossary, site map, and training center, can help you quickly locate any information that you may need. And remember, if you need additional expert assistance with Blue Access for Employers you can always call our help desk. All right, now that you have more insight into what Blue Access for Employers can do for you and your company it's time to get some hands-on experience. Log in today to take advantage of these powerful online benefitmanagement tools.
For further information about what we can do for you, contact your Blue Cross and Blue Shield account representative. When it comes to staying ahead in today's changing environment, Blue Access for Employers is there to help you and your company move at the speed ofbusiness.
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