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Get to know 2018 BCBSAZ exclusive networks for groups and individuals/families

Blue Cross Blue Shield of Arizona (BCBSAZ) exclusive networks offer coordinated care within a smaller, more localized provider network for members with PPO or HMO plans. Please see important reminders about these networks and changes for 2018.

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In This Issue

What’s so great about member ID prefixes? Here’s how they can help providers

Using the prefix for a BCBSAZ member’s ID number is essential for enrollment and claim transactions! Use the prefix to verify member eligibility, identify a member’s correct benefit plan and coverage, and properly route claims.

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A closer look at the appropriate use of imaging studies for lower back pain

The Healthcare Effectiveness Data and Information Set (HEDIS®) is a tool with a clear purpose: to measure performance on various dimensions of care and service in order to improve both healthcare delivery and health plans. In this HEDIS Hub, we review clinical guidelines for imaging tests for people experiencing low back pain.

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The vital role of effective communication in patient experience

Effective communication is essential to delivering a better patient experience. This month we look at how polishing your communication skills can positively influence both patient satisfaction and clinical outcomes.

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Quarterly updates reminder: fee changes and code edits

BCBSAZ will soon post notice of the April 1, 2018, quarterly fee schedule updates. Staying up-to-date on fee changes will help you submit claims accurately and efficiently. Also check for periodic changes to coding guidelines for our claims editing system.

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