Bluechoice health plan provider manual

By accepting this manual, the provider acknowledges this manual is solely for the purpose of referencing information about the provision of medical services to South Carolina Department of Health and Human Services (SCDHHS) members. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield www.doorway.ru: Brown, Sandra M.  · Updated on CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (CareFirst) notified providers that the new 2 in 1 provider manual is now available. CareFirst is committed to giving providers the tools needed to easily do business with us, so providers can focus on giving their patients the best care. Provider manuals and guides. Healthy Blue is committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing coverage options, guidelines for clinical utilization management (UM), practice policies and .

- 1 | Provider Office Manual - Introduction Founded in , BlueChoice HealthPlan was one of the first health maintenance organizations (HMOs) in South Carolina. Originally known as Companion HealthCare, it was the first HMO offered by BlueCross® BlueShield® of South Carolina. A Health Maintenance Organization (Standard Option and Blue Value Plus Option) and a High Deductible Health Plan (HDHP) IMPORTANT • Rates: Back Cover • Changes for Page 17 • Summary of Benefits: Page This Plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. Cross and Blue Shield plan providers outside the CareFirst BlueChoice Service Area through In-Network benefits. Your member ID card identifies you as a HealthyBlue Advantage member and contains important information about you, your personal primary care provider (PCP), and some of your eligible benefits. This is the card you present to your PCP.

BlueChoice is committed to providing quality service, education and problem resolution to the health care community. This Administrative Office Manual for Providers is part of that commitment. We developed this manual to guide you through claim filing and to help you deal more effectively with our company. CBA Provider Manual The CBA provider manual has important information that should be beneficial to all CBA network professional providers, facilities, Department of Alcohol and Other Drug Abuse Services clinics and Department of Mental Health Centers. acknowledge this provider manual and any other written materials provided by Blue Cross NC or Amerigroup Partnership Plan, LLC as proprietary and confidential. Material in this provider manual is subject to change. Visit www.doorway.ru for the most up-to-date information. Providers can obtain an online copy of the provider.