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Network News - 1st Quarter 2024

Blue Cross and Blue Shield of Louisiana·LA·Provider News
Effective date
Apr 22, 2024
We identified it
Jun 20, 2026
Days to comply
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Summary

Blue Cross Blue Shield of Louisiana is implementing multiple system changes: a new Epic-powered authorization application launches April 22, 2024, and genetic testing prior authorizations will transition to Carelon Medical Benefits Management starting July 1, 2024. The Epic transition requires no action, but genetic testing will require new authorization processes through Carelon starting June 17, 2024.

Action Required

Action needed
By April 22, 2024: Staff should attend webinars (April 9-18) to learn the new Epic authorization system - no login changes needed. By June 17, 2024: Ordering providers must begin submitting genetic testing prior authorizations through Carelon via iLinkBlue 'Carelon Authorizations' application or by calling 1-866-455-8416. Labs can no longer submit genetic testing authorizations after June 17. Attend June educational webinars for Carelon genetic testing program. Failure to obtain proper authorization may result in claim denials and retrospective review penalties.

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