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BLUECONNECT
Providers
January 2024
In This Issue
► January news: Executive summary
► 2024 Medicare Advantage networks and plans
► "Incident-to" billing: What you need to know
► Updated pricing guidelines for E/M services provided in emergency departments
► Cervical cancer screening: Provider guidance for 2024
2024 Medicare Advantage networks and plans
HMO network and benefit plans
To streamline member access for 2024, Blue Cross® Blue Shield® of Arizona (AZ Blue) has consolidated the Medicare Advantage (MA) HMO networks into one network (Blue Advantage). The prefix for all 2024 MA HMO plans is M2K and the plan names are:
• Blue Best Life Classic (available to residents of Maricopa, Pinal, and Pima counties)
• Blue Best Life Plus (available only to residents of Maricopa and Pinal counties)
Important: We have discontinued our networks associated with P3 Health Partners (P3) and Arizona Priority Care (AZPC). P3 and AZPC will remain available to complete claim/payment processing for 2023 service dates and any authorized continuing care services during the 2024 plan year transition period. 
Some of our 2024 HMO members are attributed to OptumCare Arizona
We have contracted with OptumCare Arizona to provide utilization management and claim/payment services for a subset of our HMO membership in Maricopa and Pinal counties. These members can be identified by checking the back of the ID card for the OptumCare Arizona claim filing information and prior authorization phone number, as shown on this ID card sample:
All other HMO plans in the Maricopa/Pinal county service area and all HMO plans in the Pima County service area are administered by AZ Blue. Here are some ID card samples:
PPO network and benefit plans
Our BlueJourney plans (prefix M3P) continue to serve residents in Maricopa and Pima counties. These plans use the BlueJourney PPO network with access extending across Arizona. 
2024 Summary
The table below includes the current network names, specific benefit plan names, and plan ID numbers, along with the associated member ID prefixes, service areas, and plan administrators.
If you have questions about the 2024 MA networks and benefit plans, please reach out to your Provider Relations Contact.
In This Issue
► January news: Executive summary
► 2024 Medicare Advantage networks and plans
► “Incident-to” billing: What you need to know
► Updated pricing guidelines for E/M services provided in emergency departments
► Cervical cancer screening: Provider guidance for 2024
OptumCare Network of Arizona (“OptumCare Arizona”) is a separate, wholly owned subsidiary of Optum and is contracted with AZ Blue to provide utilization management and claim/payment processing services for providers and attributed members with certain AZ Blue Medicare Advantage HMO plans.

P3 Health Partners and Arizona Priority Care are separate, independent companies contracted with AZ Blue to provide healthcare services to AZ Blue members and providers.

© 2024 Blue Cross Blue Shield of Arizona, Inc. All rights reserved.

To add email addresses to our communication distribution list, reach out to your assigned Provider Relations Contact.
DISCLAIMER  |  PRIVACY POLICY  |  AZBLUE.COM
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