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Upcoming Authorization Changes for Blue Cross Members in 2026 What You Need to Know
Starting January 1, 2026, Blue Cross will implement authorization changes for some commercial and government program members . These changes will affect how healthcare providers request and receive approvals for certain services. Understanding these updates is essential for providers to ensure smooth patient care and avoid delays in treatment. What Are the Authorization Changes Coming to Blue Cross? The authorization changes coming to Blue Cross for some commercial and govern
Angel Callaway, CPC, CPB
Nov 18


Senate Extends Telehealth Services Until January 30 2026 What It Means for Patients
Telehealth has transformed healthcare access in recent years, especially during the COVID-19 pandemic. Now, the Senate has approved an extension of certain telehealth services through January 30, 2026. This decision will affect millions of patients across the country. Understanding what this extension means can help patients make the most of telehealth options and plan for their healthcare needs in the coming years. Patient engaging in telehealth consultation from home What t
Angel Callaway, CPC, CPB
Nov 14


Understanding Medicare Coverage for Skin Substitute Products as Incident-to Supplies
Medicare has long been a crucial resource for individuals seeking healthcare coverage, particularly for those with chronic conditions or injuries requiring specialized treatment. One area that has recently gained attention is the coverage of skin substitute products as incident-to supplies. This blog post aims to clarify what this means for patients and healthcare providers, exploring the implications of this coverage and how it can benefit those in need. Medicare's coverage
Angel Callaway, CPC, CPB
Nov 12


BCBS to Upgrade Paid Claims Editing for Medicare Advantage and Medicaid Members in 2026
Blue Cross Blue Shield (BCBS) is set to enhance its paid claims editing process for Medicare Advantage and Medicaid members starting in 2026. This update aims to improve accuracy and efficiency in claims processing, which will affect healthcare providers and payers alike. Understanding these changes is crucial for healthcare professionals who manage billing and reimbursement for these populations. What Paid Claims Editing Means for Medicare Advantage and Medicaid Paid claims
Angel Callaway, CPC, CPB
Nov 8


WELLCARE Telehealth after 10/01/2025
Providers might be fielding inquiries about Medicare telehealth coverage due to the government shutdown that started on October 1, 2025. Please refer to the information below for consistent communication with members. Per Superior's newsletter there is no disruption to telehealth coverage for our Medicare members or providers. Although federal flexibilities for traditional Medicare ended on September 30, 2025, our Wellcare, Wellcare By Allwell, and Wellcare By Superior Healt
Angel Callaway, CPC, CPB
Nov 7
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