Blue Cross Complete’s Retrospective Outreach Program
Blue Cross Complete (BCC) works with providers to collect complete and accurate member health histories to help facilitate care management, as appropriate. BCC is asking for your continued support and collaboration to help ensure members with chronic health conditions are benefiting from routine monitoring and treatment services.
As part of these efforts, Blue Cross Complete is implementing a Retrospective Outreach Program effective April 1, 2022.
The Retrospective Outreach Program includes reviewing and updating diagnostic information previously reported through claims.
- Step 1: The retrospective review process identifies members with a history of chronic conditions which weren’t reported on claims in the specified date of service period.
- Step 2: Medical records are obtained, reviewed and the missing diagnosis is identified.
Click here to read the full announcement from Blue Cross Complete.