Blue shield of california provider manual

Hospital and Facility Guidelines Manual. 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. Blue Choice PPOSM and Blue High Performance SM (Blue HPN) Provider Manual - Filing Claims – Billing Requirements. In this Section. Updated Page F (c) – 1. The following topics are covered in this section.  · In this case when you enter the member’s prefix, PHU, you will be routed to a general page on the Blue Shield of California website. To save you time, here is the direct number for Prime Healthcare for authorization and appeals of prior authorization service denials: The BlueCard program is designed to help Blue Cross and Blue.

Blue Cross Complete of Michigan is an independent licensee of the Blue Cross and Blue Shield Association. It is a health maintenance organization and is a joint venture between Blue Cross Blue Shield Significant revisions to the Blue Cross Complete Provider Manual are identified on the affected pages by means of a Blue Dot. Blue Cross and Blue Shield of Louisiana Member Provider Policy Procedures Manual December 9 Section 1 NETWORK PARTICIPATION Participating providers are those facilities who have entered into a provider agreement with Blue Cross and Blue Shield of Louisiana (herein referred to as Blue Cross or Plan). As a participating provider in our. Provider Manuals, Policies and Guidelines. Anthem Blue Cross (Anthem) is committed to supporting you in providing quality care and services to the members in our network. Here you will find the Anthem provider manuals, guidelines for clinical Utilization Management (UM), medical policies and coding spotlights for common conditions.

Provider Manuals, Policies and Guidelines. Anthem Blue Cross (Anthem) is committed to supporting you in providing quality care and services to the members in our network. Here you will find the Anthem provider manuals, guidelines for clinical Utilization Management (UM), medical policies and coding spotlights for common conditions. Provider Manuals. Health insurance can be complicated. We strive to make working with Anthem easy so that you can focus on providing excellent care to your patients. As part of that goal, we provide you with resources containing information to help your relationship with us run as smoothly as possible. Hospital and Facility Guidelines Manual. 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.