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BLUECONNECT
Providers
December 2023
In This Issue
► February news: Executive summary
► Arizona Priority Care to provide payment services
► History of vs acute condition: Claim coding requirements
► Annual update of AZ Blue fee schedules
Continuity of Care for Dignity Health patients
Arizona Priority Care to provide UM and claim/payment services for some of our Medicare Advantage members with 2024 HMO plans 
For the 2024 Medicare Advantage HMO plans, AZ Blue uses one consolidated network: Blue Advantage. In addition, we have partnered with OptumCare Arizona and Arizona Priority Care (AZPC) to provide utilization management (UM) and claim/payment services for some HMO members in Maricopa and Pinal counties. The start date for AZPC in this new role is April 1, 2024. 
The back of the ID card says it all
Please check the back of the ID card to see the contact information for prior authorization, inpatient admissions, claim filing, claim status, and remits. Here are examples for each administrator:
1. AZPC (for some HMO members in Maricopa and Pinal counties with Blue Best Life Classic and Blue Best Life Plus plans) @ azconnect.azprioritycare.com/production:
2. OptumCare Arizona (for some HMO members in Maricopa and Pinal counties with Blue Best Life Classic and Blue Best Life Plus plans) @ providers.optumcaremw.com:
3. AZ Blue (for some HMO members in Maricopa and Pinal counties and all HMO members in Pima County) @ Medicare Advantage provider portal:
2024 Summary
The prefix for all 2024 MA HMO plans is M2K. 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.
More information
We ask that you share this update with your clinical and administrative support teams. Feel free to download and send them our revised 2024 Medicare Advantage Overview. If you have questions about the Medicare Advantage networks and benefit plans, please reach out to your Provider Relations Contact. 
In This Issue
► February news: Executive summary
► Arizona Priority Care to provide payment services
► History of vs acute condition: Claim coding requirements
► Annual update of AZ Blue fee schedules
Continuity of Care for Dignity Health patients
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 in Maricopa and Pinal counties with AZ Blue Medicare Advantage HMO plans.

Arizona Priority Care is a separate, independent company contracted with AZ Blue to provide utilization management and claim/payment processing services for providers and attributed members in Maricopa and Pinal counties with AZ Blue Medicare Advantage HMO plans.

Blue Cross, Blue Shield, and the Cross and Shield Symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

© 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.
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