We're sorry, something went wrong! Please refresh your browser and try again.
Speed Guides
Tidbits
Workshop and Webinar Presentations
Past Workshops
2024 Professional Workshop
Recent Webinars
2024 Genetic Testing Program Webinar
2024 New to Blue Webinar - Professional
2024 New to Blue Webinar - Facility
2024 Provider Credentialing and Data Management
2023 Sleep Management Program Webinar
2023 Provider Credentialing and Data Management
2023 Behavioral Health – Facility
2023 Behavioral Health – Professional
2022 New Security Setup Application Webinar
2022 Laboratory Benefit Management Program
2019 CES Webinar - Professional
Forms
Admissions and Recertifications Form
Alternative Dental Procedure Payment Responsibility Form
Authorization Form
Behavioral Health Provider Clinical Profile Form
Blue Cross CAA Consent Submission Form
Consumer's Right to Know Facility Reporting Form
Continuity of Care Request Form
Coordination of Benefits Questionnaire
Electronic Funds Transfer Application
Electronic Remittance Advice (ERA) Enrollment Form
Facility Credentialing Packet
iLinkBlue Agreement Packet
Itemized Bill Cover Sheet
No Surprises Act Open Negotiation Notice
OGB Bariatric Surgery Form
Overpayment Notification Form
Professional Initial Credentialing Packet - LSCA
Professional Initial Credentialing Packet - CAQH
Professional Liability Information Form
Provider Disputes Form
Provider Update Request Form
Rainmaker Application Form
Reimbursement During Credentialing
Release of Protected Health Information Form
Retrospective Review Authorization Form
Utilization Management Approval and Denial Fax Form
New/Revised Medical Policies
Effective July 1, 2024
Revised Policy No. 00218 – Rituximab Products
Revised Policy No. 00313 – Manipulation Under Anesthesia
Revised Policy No. 00577 – Laboratory Testing Investigational Services
Revised Policy No. 00817 – Bevacizumab Products
Revised Policy No. 00818 – Trastuzumab Products
Effective Aug. 1, 2024
Revised Medical Policy No. 00560 – bezlotoxumab (Zinplava™)
Effective Sept. 1, 2024
Revised Medical Policy No. 00077 – Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, Biacuplasty and Intraosseous Basivertebral Nerve Ablation
Revised Medical Policy No. 00081 – Lymphedema Pumps
Revised Medical Policy No. 00583 – Temporomandibular Joint Dysfunction
New/Revised Lab Reimbursement Policies
Revised Policy
Effective for dates of service on and after July 15, 2024:
New Policies
Effective for dates of service on and after March 1, 2024:
Revised Policies
Effective for dates of service on and after Nov. 1, 2023
