Blue shield provider manual

 · BCBSTX Provider Manuals are reference tools for providers. These manuals set forth the detailed policies, procedures and requirements necessary for participation in the BCBSTX contracting provider networks. Note: In the event of a conflict between the manual and the provider's contract, the contract will govern. These guidelines describe policies and administrative procedures for Blue Shield network hospitals and facilities, including ambulatory surgery centers, behavioral health outpatient facilities, birthing centers, dialysis centers, residential treatment centers, and skilled nursing facilities. You'll need Adobe Reader to view the manual. Welcome to the Florida Blue Manual for Physicians and Providers. The Manual is not intended to be a complete statement of all Florida Blue polices or procedures for providers. Generally, the pronouns "our," "we" and "us" used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its.

Any section of this Manual may be updated at any time. Florida Blue may notify providers of updates in a variety of ways, depending upon the nature of the update, including mailings, publication in BlueLine, our provider newsletter, or posting to our website at www.doorway.ru To access the Provider Manual information click the buttons below. You can also view the BlueCard ® Manual. Dental Providers Administrative Office Manual - This manual covers dental benefits for our commercial, Federal Employee Program (FEP) Blue Dental, and State Dental and Dental Plus plans. It also includes a review of the national Dental GRID program. Blue Shield HMO IPA/Medical Group Manual Blue Shield of California Table of Contents Page 1 HMO IPA/Medical Group Manual May Table of Contents.

The provider manual contains the policies, procedures, reference information, and minimum care standards required of Blue Shield Promise providers. Change notifications January Blue Shield Promise Cal MediConnect Provider Manual Change Notification letter (PDF, 82 KB). Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. The intent of this Provider Manual is to serve as a source for answers to some of the most common questions providers have about health plan coverage, claims filing procedures, policies and other facts related to administering care to BCBSND members. This Provider Manual is not intended as a complete statement of all provider-related policies.