< Agent Blog

Excellus BCBS Broker News Vol. 19 No. 5

May 14, 2024
Excellus BlueCross BlueShield

Excellus Wants To Hear From You!

The annual broker satisfaction survey is now live until May 31. Your feedback and experience are valuable, and Excellus would like to learn more from you. If you have not already, you will receive an email with a link to the survey. Please respond by May 31.

If you have any questions about the survey, please email the Research Insights team at excellusbcbs@excellus.com.

Past Due: What If My Group Missed The RxDC Deadline?

There have been questions from groups and brokers about what to do if a group did not complete the RxDC online form by the due date of April 12.

If a group missed the deadline, they should report the information directly to CMS in HIOS (or have another reporting entity report it for them).

The information that would need to be filled out in the P2 and D1 are:

  • Any information that the insurance company is not submitting on the group’s behalf (in this case, groups that did not complete the online for by the due date)
  • Columns that will result in an upload error if left blank are:
    • P2: Group Health Plan name, group health plan number, market segment, plan sponsor name and plan sponsor EIN
    • D1: Company name, company EIN, aggregation state and market segment
  • The instructions for P2 are in section 4.2 and the instructions for D1 are in section 6.1 of the RxDC reporting instructions

Please see the RxDC reporting instructions below and contact your account representative with any questions.

    RxDC Reporting Instructions  

Plan Designation Indemnification Is Now A Fillable Form

Excellus BCBS is excited to share the availability of a fillable Plan Designation Indemnification form. This has been a request from brokers and self-insured groups that use the form alike, and they look forward to this new form saving time for everyone.

The fillable versions of these forms can be requested from your account representative. Once it is received, it can be opened in Adobe, completed, and electronically signed. Groups can still print these forms, fill them out, sign, and scan back to us if they prefer.

Please note:

  • Any saved copies of these forms need to be deleted, including any fillable versions that you or your team created on your own.
  • Excellus will only accept their version of a fillable form so they can maintain the validity of the content and obtain an acceptable and consistent electronic signature.
  • The forms must be opened in Adobe and not opened in a browser, as the browser will not allow you to sign the form.
  • Once signed, the documents will lock to any additional edits, so be sure the form is completed prior to signing.

Please contact your account representative if you have any questions or would like to provide feedback regarding the use of the forms.

Working To Deliver A Real Time Enrollment Experience

Enhancements are coming soon to the online “Enroll & Update” tool that will allow Excellus to process many of your transactions in real time. You’ll begin seeing these changes within the next month. For example:

  • When making “Enroll a New Member” transactions, a subscriber ID may now be assigned within minutes as opposed to waiting overnight. (Member ID cards will continue to print and mail on the same schedule they do today.)
  • An employee will be able to register for an online web account and review their benefits the next day.

Please keep in mind that not all transactions will be able to be completed in real time. Some transactions may still pend for manual review to ensure accuracy and compliance with regulations. When they do, Excellus remains committed to completing these reviews timely and accurately.

June Is Employee Wellness Month

Most adults spend more time at work than anywhere else. And work has a significant impact on all aspects of our wellbeing. According to Gallup, people who are thriving in all aspects of wellbeing are healthier and more engaged at work. Yet 6 in 10 adults in the US have a chronic disease such as heart disease, diabetes, or depression, which impacts their ability to function and feel well both at work and at home.

While we may not be able to control everything that impacts our health and wellbeing, such as workload, genes, or environment, we can control how we take care of ourselves. Most chronic diseases are caused by lifestyle habits, such as poor eating habits, not getting any exercise, using tobacco or too much alcohol, and not sleeping enough.

Employers have a unique opportunity to improve their employees’ wellbeing, which will also impact their productivity and engagement at work. The June Wellbeing Toolkit (ZIP) includes materials that can be shared with your groups.

    Download Our Wellbeing Toolkit (ZIP)  

Rx News - GLP-1 Webinar Recording Now Available

As covered in the recent webinar:

  • Studies show that weight loss drugs paired with healthy lifestyle modifications provide the maximum benefit.
  • With the right Utilization Management strategies in place, we can help mitigate off-label drug use and control costs.

As new drugs continue to enter the market our team of clinical pharmacists provide an unbiased review for each request of a GLP-1 to confirm medical necessity and safety.

By promoting evidence-based prescribing, evaluating cost-effectiveness, ensuring equitable access, and staying informed in the market, we can play a pivotal role in navigating the complexities of this growing trend while prioritizing member care.

To learn more about the Excellus BCBS approach, you can read the blog below on Navigating the GLP-1 Trend, or if you missed “Beyond the Buzz: Understanding the GLP-1 Trend” webinar you can log in to the Sales Hub to watch.

Read The Blog                                              

Watch The Webinar                  


Rx News - A New Way For Self-Funded Groups To Save

Self-funded commercial group members now have access to GoodRx® prescription pricing. GoodRx provides automatic savings on many generic prescription drugs when available. The Price Assure flyer has additional information.

Please contact your account representative with questions.

Price Assure Flyer (PDF) →

View Details >View Details >

Questions? Call us at 855-888-8326.

Don't have a MedCareValue page yet?

Get Your FREE Site >

Posts you may be interested in...

Read More

Cigna Medicare Minute - June News

June 19, 2024
Agent Blog Icon - Indicates this is a blog article.

June News from Cigna

Read More

UPMC for Life: Update to Scope of Appointment Form

June 19, 2024
Agent Blog Icon - Indicates this is a blog article.

UPMC will be closely monitoring returned forms to ensure that this section is complete...

Read More

UnitedHealthcare: JarvisWRAP for June 18

June 18, 2024
Agent Blog Icon - Indicates this is a blog article.

What to expect this AEP season

Read More

Highmark: Medigap Enrollment Kit Orders Now Include Updated Rate Sheets

June 17, 2024
Agent Blog Icon - Indicates this is a blog article.

Effective immediately, all Medigap Enrollment Kit orders will feature updated rate sheets, reflecting 7/1/2024 - 6/30/2025 rates

Read More

Wellabe: Download MFA registration guide before July 1

June 17, 2024
Agent Blog Icon - Indicates this is a blog article.

On July 1, 2024, Wellabe will be upgrading the agent portal to provide an extra layer of security to ensure you and your clients are well protected.

Read More

Molina: Broker Photos Wanted

June 13, 2024
Agent Blog Icon - Indicates this is a blog article.

You can now display your professional photo on Molina marketing collateral

Who we are & what we do.

Choosing an FMO to work with is not just about having access to top insurance products and commissions, it’s about finding a one-on-one agent service that is prepared to meet your needs.  

Get to know us, and see how we can help you take your business to the next level.

Learn More

Helpful Links

New Here?

We love meeting new people! Fill out the form below, and one of our sales directors will get in touch with you shortly.

Thank you! Your form has been received!
Oops! Something went wrong while submitting the form