Blue cross blue shield of minnesota provider policy and procedure manual

 · Inclusion or exclusion of a code does not constitute or imply member coverage or provider reimbursement. These guidelines are the proprietary information of Blue Cross and Blue Shield of Minnesota. Any sale, copying or dissemination of the medical policies is prohibited; however, limited copying of medical policies is permitted for individual use.  · Blue Cross and Blue Shield of Minnesota reserves the right to revise, update and/or add to its medical policies at any time without notice. Codes listed on this policy are included for informational purposes only and are subject to change without notice. Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (12/28/18) Claims Address All claims must be submitted electronically. All Minnesota and out-of-state participating providers are required to electronically submit all claims according to Minnesota Statute 62J and the participating provider contracts.

The Blue Book. Provider Manual. For providers participating in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provider network. Blue Cross NC is pleased to provide the Web-based edition of the Blue Book, our provider reference manual. It is a comprehensive reference guide for our products, value-added programs and services. The credentialing process applies to all Blue Cross and Blue Shield of Minnesota and Blue Plus credentialing policies and procedures for all products or lines of business. Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (11/19/19) How to Contact Us Provider Services A conversation with one of our service representatives often can solve a problem im mediately or give you an answer to a claims question. The representatives answering the provider serv ices.

Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These guidelines are available to you as a reference when interpreting claim decisions. To see a list of all Medical Policies and Clinical UM Guidelines, visit our Full List page. The purpose of the Credentialing Recredentialing Provider Policy Manual i s to provide guidance to all practitioners and providers who wish to participate in the Blue Cross networks. Blue Cross and Blue Shield of Minnesota uses a credentialing process to provide members with a selection of physicians and other healthcare professionals who have. Inclusion or exclusion of a code does not constitute or imply member coverage or provider reimbursement. These guidelines are the proprietary information of Blue Cross and Blue Shield of Minnesota. Any sale, copying or dissemination of the medical policies is prohibited; however, limited copying of medical policies is permitted for individual use.