Highmark health options is an independent licensee of the blue cross and blue shield association, an association of independent blue cross and blue shield plans. Blue cross blue shield of tennessees behavioral health bh program. Attorneys fees and costs the shared fees and costs of the nonbinding mediation and arbitration e. Disclaimer disclaimer all revisions to this manual are controlled electronically. Apply to join highmark blue shield s participating network highmark blue shield s largest. Provider administration manual bluecross blueshield. Medicare card codes highmark blue shield remittance codes.
Providers in need of assistance should contact provider services at 8002415704 tollfree. Quick guide to blue cross and blue shield member id. You will go to the united concordia website where you can start your search. Provider manual index of chapters page 2 of july 2011 1. Our vision is to ensure that all members of the community have access to affordable. Claims for services prior to 010115 should remain billed to the. Blue cross and blue shield of illinois, a division of health care service corporation, a mutual legal reserve company, an independent licensee of the. Professional provider office manual blue cross and blue shield of blue cross and blue shield of louisiana is an independent licensee of the blue cross and the provider payment registerremittance advice summarizes each claim and. The blue cross and blue shield symbols are registered marks of the blue cross and blue shield association, an association of independent blue cross and blue shield plans. Once you submit an initial provider credentialing request, you will not be able to change and resubmit. The blue booksm provider manual is intended to supplement your network.
Premier blue shield allowances are based on a fee schedule that emphasizes evaluation and management services. Get a checklist of requirements to become a blue shield network provider. Bluecross blueshield of tennessee provider administration manual. Highmark health options is closely following updates regarding the coronavirus. Nov 23, 2015 highmark medicare services part b quick reference. Download provider manuals for professionals, facilities, and others for more on our programs and policies.
Hmo medical service agreement highlight and process summary section. Highmark health 2015 annual report financials overview. Once you begin your request, you must complete it in one session as you will not be able to save it and complete at a later time. For a coverage effective date of january 1, 2015, blue cross and. This provider manual is subject to change by blue cross on an ongoing basis. Blue cross blue shield of michigan and blue care network are nonprofit corporations and independent licensees of the blue cross and blue shield association. No fee schedules, basic units, relative values or related listings. Click the title of the manuals below to download a pdf copy of that manual. Do not use this mailing address or form to report fraud. Nov 25, 2014 company, and with highmark blue shield independent licensees.
Welcome to the florida blue manual blue cross and blue shield of florida, inc. Major events blue ppo 6600 a community blue plan coverage period. Highmark blue cross blue shield west virginia providers. Blue cross and blue shield of nebraska is an independent licensee of the blue cross and blue shield association. Effective january 1, 2015 a new organization, highmark senior health company. If youd like to know if a particular health care provider can accommodate these special needs, please. Health savings blue ppo 2750 a community blue flex plan coverage period. Anthem blue cross and blue shield provider policy and procedure blue shield names and symbols are registered marks of the blue cross and blue shield association.
The anthem bluecard program provider manual march 2017 kentucky, inc. Find resources for health care providers, including provider self service, news and updates, and tools and resources. Highmark blue cross blue shield is an independent licensee of the blue cross blue shield association, an association of independent blue cross and blue shield companies. Fileseducationmanualsprovidermanualhpmchapter3unit3. Medicare plus blue ppo manual blue cross blue shield of. Highmark health options is a highmark blue cross blue shield delaware. In missour this manual is designed to assist you with education about bluecard and interplan business. To view pdf documents, you will need adobe acrobat reader.
Obtain a provider number necessary for any provider to receive reimbursement from highmark blue shield. Hmo medical service agreement highlight and process summary. Anthem blue cross and blue shield provider manual co page 10 of 196 revised. Anthem blue cross centers of medical excellence operations manual. Important information regarding the use of this manual welcome to the florida blue manual blue cross and blue shield of florida, inc. Adjustments to the premier blue shield fee schedule are made, as needed, to assure providers are receiving fair. 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 to access the provider manual information click the buttons below. Highmark s mission is to be the leading health and wellness company in the communities we serve. Highmark blue shield understands the importance of helping our members find network health care providers who are accessible to people with physical disabilities and who can communicate with people who have sensory disabilities.
Community blue medicare hmo plan provider directory. Administration manual small groups highmark blue cross blue shield delaware is an independent licensee of the blue cross and blue shield association. This block identifies the dates that the patient was employed but unable to work. Highmark is an independent licensee of the blue cross and blue shield association, an association of independent blue cross and blue shield companies. Highmark blue shield is an independent licensee of the blue cross blue. All paper copies and screen prints are considered uncontrolled and should not be relied upon for any purpose. Md, do and podiatrists get instructions, applications, forms, and credentialing documents. Highmark blue cross blue shield west virginia is an independent licensee of the blue cross blue shield association, an association of independent blue cross and blue shield plans. For nonroutine inquiries that require analysis andor research, contact highmarks provider services. Highmark blue shield, highmark senior health company, highmark choice company, highmark senior solutions company and hm heath insurance company are independent licensees of the blue cross and blue shield association. Pennsylvania blue shield and blue cross of western pennsylvania. May 21, 2012 anthem blue cross and blue shield provider manual nv directory of servicesprovider resource information.
August 2015, effective november 15, 2015 july 31, 2016 a. Find blue shield forms, policies, benefit information, medical guidelines, operating guidelines, manuals, patient care resources and more. Resources for health care providers blue cross blue shield. Highmark now operates health insurance plans in pennsylvania, delaware, and west virginia that serve 5. Pharmacy information highmark delaware health options. Do not use this mailing address or form for provider inquiries. With providers to help offer the highmark blue cross blue shield providers. Blue cross blue shield bcbs plans across the country and in more than 200. Provider edi reference guide highmark edi operations april 5, 2010. The highmark blue shield office manual is the property of highmark inc. Highmark blue cross blue shield delaware is an independent licensee of the blue cross blue shield association, an association of independent blue cross and blue.
Premier blue shield is highmark s statewide selectively contracted network of supports a variety of highmark programs. This website is operated by horizon blue cross blue shield of new jersey and is not the health insurance marketplace website. Blue cross complete provider manual pdf blue cross blue shield. It is among the ten largest health insurers in the united states and is the fourth largest blue cross and blue shield affiliated company. This website does not display all qualified health plans available through the health insurance marketplace website. Bluecard program provider manual blue cross blue shield of. The blue cross and blue shield association licenses blue cross and blue shield of nebraska to offer certain products and services under the blue cross and blue shield brand names within the state of nebraska. Were here to help you and your patients stay informed, make a plan, and stay safe. Provider news issue 1, 2020 provider resource center. We are also in close contact with various state and federal health agencies, including the centers for disease control and prevention cdc. Th manual is for physicians, hospitals, ancillary e providers and facilities participating in any florida blue network. Blue cross, blue shield and the cross and shield symbols are registered service marks of the blue cross and blue shield association. Anthem blue cross and blue shield provider and facility manual.
The information, content and designorganization of the highmark blue shield office. Highmark blue cross blue shield west virginia is an independent licensee of the blue cross blue shield association, an association of independent blue cross and blue shield companies. Complete the section below and the address section on the following screen. The highmark provider manual, first published in april 2018, is the result of the consolidation of the former highmark blue shield office manual for professional providers and the highmark facility manual the consolidation simplified and improved the experience for our participating providers by providing one comprehensive resource for all provider types. It is contracted to manage a network of dental providers for highmark and highmark health insurance company. Any section of this manual may be updated at any time.