Appeals
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Coming soon – Appeals and medical records submissions through Capital’s Provider Portal
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AB2026-01-001
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Prime Therapeutics (Prime) medical drug management – Specialty injectable medications
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AB2026-01-002
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Availity
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Coming soon – Appeals and medical records submissions through Capital’s Provider Portal
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AB2026-01-001
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Fee schedule on Provider Portal – Now accessible to chiropractors
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AB2026-01-001
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CapBlueCross.com
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CapBlueCross.com launches new, improved Provider website
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AB2026-01-001
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Chiropractic services
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Chiropractic coding – Reimbursement policy and claims editing system updates
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AB2026-01-001
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Fee schedule on Provider Portal – Now accessible to chiropractors
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AB2026-01-001
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Claims
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Chiropractic coding – Reimbursement policy and claims editing system updates
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AB2026-01-001
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Claims editing system - Inappropriate use of modifiers 59, XE, XP, XS, and XU
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AB2026-01-001
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Services not provided directly to members are not covered – H0032
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AB2026-01-001
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Coding
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Claims editing system - Inappropriate use of modifiers 59, XE, XP, XS, and XU
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AB2026-01-001
|
|
Chiropractic coding – Reimbursement policy and claims editing system updates
|
AB2026-01-001
|
|
Services not provided directly to members are not covered – H0032
|
AB2026-01-001
|
|
TurningPoint (TP) – Musculoskeletal (MSK) procedure code substitutions for orthopedic surgeries
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AB2026-01-001
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Fee schedule
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|
Fee schedule on Provider Portal – Now accessible to chiropractors
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AB2026-01-001
|
Medicare Advantage
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Single source preauthorization list updates
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AB2026-01-001
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Claims editing system – Inappropriate use of modifiers 59, XE, XP, XS, and XU
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AB2026-01-001
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Medical injectables
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Prime Therapeutics (Prime) medical drug management – Specialty injectable medications
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AB2026-01-002
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Medical policy
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Evolent – High-tech radiology, cardiac imaging, and radiation oncology – Annual review of delegated services and medical policy criteria
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AB2026-01-001
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Notification of new and revised medical policies and preauthorization requirements
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AB2026-01-003
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Member ID cards
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Shared administrative services expansion – I.B. Abel, Inc
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AB2026-01-001
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Musculoskeletal (MSK)
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TurningPoint (TP) – Musculoskeletal (MSK) procedure code substitutions for orthopedic surgeries
|
AB2026-01-001
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Oncology
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Evolent – High-tech radiology, cardiac imaging, and radiation oncology – Annual review of delegated services and medical policy criteria
|
AB2026-01-001
|
Preauthorization
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Ensuring Continuity of Care when patients change health plans
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AB2026-01-001
|
|
Prime Therapeutics (Prime) medical drug management – Specialty injectable medications
|
AB2026-01-002
|
|
Single source preauthorization list updates
|
AB2026-01-001
|
|
TurningPoint (TP) – Musculoskeletal (MSK) procedure code substitutions for orthopedic surgeries
|
AB2026-01-001
|
Preventive services
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Preventive services health coverage guidelines — 2026 Updates
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AB2026-01-001
|
Prime
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Prime Therapeutics (Prime) medical drug management – Specialty injectable medications
|
AB2026-01-002
|
Radiology
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Evolent – High-tech radiology, cardiac imaging, and radiation oncology – Annual review of delegated services and medical policy criteria
|
AB2026-01-001
|
Reimbursement
|
|
Chiropractic coding – Reimbursement policy and claims editing system updates
|
AB2026-01-001
|
|
Claims editing system – Inappropriate use of modifiers 59, XE, XP, XS, and XU
|
AB2026-01-001
|
|
Services not provided directly to members are not covered – H0032
|
AB2026-01-001
|
Shared Administrative Services (SAS)
|
|
Shared Administrative Services expansion – I.B. Abel, Inc
|
AB2026-01-001
|
Value-based programs
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|
2026 Commercial and Medicare gaps in care measures
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AB2026-01-001
|
Women’s health
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Preventive services health coverage guidelines — 2026 Updates
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AB2026-01-001
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