We are delivering this message on behalf of Blue Cross® and Blue Shield® of Alabama.
The Lowe’s Companies, Inc. medical plan option uses CareContinuum, an independent utilization management company, on all primary Lowe’s medical plan options to perform these services:
CareContinuum contracts directly with Lowe’s. CareContinuum is an independent company and is solely responsible.
Effective November 1, 2011, CareContinuum is revising the list of specialty drugs requiring prior certification. It is adding new drugs to this list.
When caring for Lowe’s medical plan members who require specialty drugs, remember to follow these steps:
If you have a current patient and have not submitted a prior certification for the administration of a specialty drug in your office, clinic or in the patient’s home, call CareContinuum to get prior certification. Please note the Lowe’s medical plan requirement should follow mandatory prior certification guidelines. Failure to comply could result in financial penalties for the medical plan member.
Providers must submit appeals of adverse determinations either orally or in writing by contacting CareContinuum directly:
1700 Eastpoint Parkway Suite 50
Louisville, Kentucky 40223
If you have questions concerning this change, contact CareContinuum at 866-240-4734.
Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association.