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Blue Cross and Blue Shield of Louisiana Professional Provider Office Manual January 2023 5.0-2 Section 5: Billing and Reimbursement Guidelines

Health insurance companies design prior authorization processes to evaluate the medical necessity of certain services. Blue Cross’ authorization process ensures that members receive the highest level of benefits in the most appropriate setting and level of care for a given medical condition. Self-funded group employers may choose to require ... We are still here to assist you and want to share a number of ways you can reach customer service: We encourage you to log in to your online account from home 24/7 to check balances, make payments or check claim status. Hear account information via the phone at 1-800-599-2583. Speak with a Customer Service Advisor by calling 1-800-495-2583, 8 a ...BlueCare. With Blue Cross and Blue Shield of Louisiana’s signature telehealth program, BlueCare, you can have online doctor visits 24/7 from home, work or anywhere you need care. BlueCare is good for treating routine, non-emergency health issues, and the doctor you visit can answer your questions, make a diagnosis and prescribe basic ...BATON ROUGE, La. - As healthcare providers and hospitals work to treat high volumes of COVID-19 patients, Blue Cross and Blue Shield of Louisiana encourages telehealth use for routine care needs. Access iLinkBlue, a secure online resource for providers who work with Blue Cross and Blue Shield of Louisiana. Verify eligibility, coverage, claims and more. BCBSLA and Elevance Health formed the Healthy Blue joint venture, where we have partnered together since 2017 to offer a Blue option to Louisiana’s Medicaid population. Since forming Healthy Blue, it has become clear that our missions and cultures are aligned, with a focus on community, volunteerism, diversity, equity and inclusion.These programs are also a benefit to providers as their patient receives individualized support, disease information and we assist with coordination of care, serve as an advocate and help members find qualified providers. Disease Management. Case Management. We offer our members a series of disease and care management programs.

The BCBSLA commissions department can not research a generic complaint and must receive a detailed list of missing commissions. What if a member or group submitted a premium payment, but it has not been posted? Your commissions are based only on premium payments that have posted during the statement period. You will not receive a commission on ...A contraceptive, or birth control, drug or method helps prevent pregnancy. Most Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. plans include contraceptive care options. Many plans cover certain contraceptive care prescribed for women with reproductive capacity for $0 out of pocket (no deductible, copay or coinsurance costs ...Abbeville General. Ochsner Clinic Foundation. Slidell Memorial Hospital. Southern Regional Medical Corporation. Terrebonne General Health System. POLICIES AND RIGHTS. Lab Reimbursement Policies: Blue Cross and HMO Louisiana. Medical Policies:Resources. We continually update as well as develop educational documents to assist our network providers with their Blue Cross needs. Manuals. Speed Guides. Tidbits. Workshop and Webinar Presentations. Forms. New/Revised Medical Policies. New/Revised Lab Reimbursement Policies.Home | Blue Cross and Blue Shield of LouisianaWe would like to show you a description here but the site won’t allow us.Policy # 00770 Original Effective Date: Current Effective Date: 03/01/2022 01/01/2024. Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the “Company”), unless otherwise provided in the applicable contract.Access iLinkBlue, a secure online resource for providers who work with Blue Cross and Blue Shield of Louisiana. Verify eligibility, coverage, claims and more.

Medicare Advantage Coverage Backed by Blue! With Blue adVantage (HMO) | Blue adVantage (PPO), you get Medicare coverage, plus so much more. Our plans combine medical, hospital and …See IRS Publication 969 for more about HSAs. Blue Cross and Blue Shield of Louisiana is not engaged in rendering tax, legal or investment advice. BlueSaver is a qualified high-deductible plan that allows you to put tax-free money in an HSA to help pay your deductible and covered medical expenses.Save up to 20% Off Garmin Devices. 40% Off Non-GMO Supplements. 20% Off Pain Relieving Heat & Ice Therapy. Save up to $2,000 on Closing Costs. Save 12% on Healthy Cajun Spices and Seasonings. Up to 20% off Hyperice Innovative Massage Devices. Free Hearing Screening and Set Discounted Prices on Hearing Aids.Get Preventive Care. If you use a provider in your network, you can get certain routine preventive services at no extra cost to you. This means you do not have to pay a deductible, copayment or coinsurance.*. See a Primary Care Doctor Regularly. You can get one physical exam per year at no extra cost with most plans.BCBSLA is not responsible for the accuracy, content, views or privacy policies of that website. Any information that you provide to the third party will be subject to the terms of that website including, but not limited to, those related to confidentiality, data privacy and security. You should contact the external site if you have questions ...Mail to: Blue Cross and Blue Shield of LA – Group Payments. P.O. Box 650007. Dallas, TX 75265-000. Make checks payable to Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Inc., or Southern National Life Insurance Company, Inc. In Person: Pay by check, money order or cashier's check in person at any district office on routine business …

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We would like to show you a description here but the site won’t allow us. If you have questions about how your claims information is shared with your provider’s office, please call the Blue Cross Information Governance Office at (225) 298-1751. Get affordable access to quality healthcare with our Quality Blue Primary Care program. Learn how to get generous Part D prescription drug coverage with a Blue Advantage plan. Find out how to use home delivery, preferred retail pharmacies, and other benefits for your medications.HOW TO FILE A CLAIM. Items 1 through 12 of the top portion of the claim form must be filled out by you. The doctor, hospital or other supplier may complete the bottom portion of the form; or you may attach a copy of an itemized bill of the charges from the doctor or supplier. A sample of the part that you must complete is shown below. Individual Account Login. Current Password *. Remember Username. Cancel. Submit. Forgot Password or Username ?

Streamline EDI transactions quickly, securely and accurately. Learn About eExchange. Get started today with eSolutions. Log in to AccessBlue. Enroll, pay your bill or download files with our eSolutions.We will be happy to help you. Call Care Management at: 1-800-317-2299. 04HQ3325 R11/21 Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Request for Benefits for Continuity of Care.Current Password. Log In. Forgot/Reset Password Need help logging in? iLinkBlue User Guide. Do not save this page to your browser favorites. Click here to be redirected to the page you can save in your browser favorites for iLinkBlue. For login/access issues call (800) 716-2299 option 5 or email [email protected] Blue short-term medical point-of-service (POS) plans are a flexible, affordable and convenient way to bridge the gap in healthcare coverage. They provide you with medical and prescription drug benefits for up to 11 months. *Bridge Blue POS plans are products of HMO Louisiana, Inc., a subsidiary of Blue Cross and Blue Shield of Louisiana.Abbeville General. Ochsner Clinic Foundation. Slidell Memorial Hospital. Southern Regional Medical Corporation. Terrebonne General Health System. POLICIES AND RIGHTS. Lab Reimbursement Policies: Blue Cross and HMO Louisiana. Medical Policies: Saver. (2022) Blue Saver is a high-deductible plan. It works best with a health savings account. Here are some other helpful tips about the best ways to use your Blue Saver plan. MEMBER NAME. - Your name will appear here. MEMBER ID NUMBER. - Used to identify you so your provider knows how to bill your health plan. Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. will follow two types of drug coverage. 2024 Covered Drugs. 2024 Open Drug Lists. 2023 Covered Drugs. 2023 Open Drug Lists. Lab Reimbursement Policies: Medical Policies: Medical Policies:Get Preventive Care. If you use a provider in your network, you can get certain routine preventive services at no extra cost to you. This means you do not have to pay a deductible, copayment or coinsurance.*. See a Primary Care Doctor Regularly. You can get one physical exam per year at no extra cost with most plans. External links open in new windows to websites not controlled by BCBSLA. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national ...

BCBSLA is not responsible for the accuracy, content, views or privacy policies of that website. Any information that you provide to the third party will be subject to the terms of that website including, but not limited to, those related to confidentiality, data privacy and security. You should contact the external site if you have questions ...

Login - iLinkBlue | Blue Cross Blue Shield of Louisiana. Network Development. Option 1. Fax (225) 297-2750. Provider Credentialing. Option 2. Fax (225) 297-2750. EDI Services. Option 3.Nominate them for The Angel Award. In recognition of the program’s 30th anniversary, past honorees will choose nine incredible individuals to be celebrated. The Blue Cross Foundation will also make a $30,000 grant to the nonprofit of each honoree’s choice. The deadline to nominate an Angel is April 5, 2024. Nominate an Angel.The "Family Glitch" now has a fix. Blue Cross and Blue Shield of Louisiana health economist Mike Bertaut explains the fix, who might benefit from it and what producers need to know about it. Shop plans, check your account information, get answers and more.Protecting Your Information. Rate Justification. Rights and Responsibilities. Third-Party Apps. Third-Party Policy. Transparency in Coverage. Transparency: HMOLA. Transparency: LAHSIC. If you have a chronic condition, Blue Cross and Blue Shield of Louisiana's care management programs can help you keep you as healthy as possible. Health insurance companies design prior authorization processes to evaluate the medical necessity of certain services. Blue Cross’ authorization process ensures that members receive the highest level of benefits in the most appropriate setting and level of care for a given medical condition. Self-funded group employers may choose to require ... Current Password. Log In. Forgot/Reset Password Need help logging in? iLinkBlue User Guide. Do not save this page to your browser favorites. Click here to be redirected to the page you can save in your browser favorites for iLinkBlue. For login/access issues call (800) 716-2299 option 5 or email [email protected]. We recently updated our security standards to protect your personal information. If your online account was not associated with an email address only you use, your account was deleted and you will need to Re-register. Premier Blue. (2022) Premier Blue is the broadest coverage offered by the Cross and Shield with several copayment, coinsurance and deductible plan options to meet your needs. MEMBER NAME. - Your name will appear here. MEMBER ID NUMBER. - Used to identify you so your provider knows how to bill your health plan. PHARMACY COVERAGE.I agree to only access the portal when authorized for enrollment, billing, and claims administration. I understand that any misuse of such information is strictly prohibited and may violate these laws. I also agree to protect my logon ID and password and to change my password if it becomes compromised. Blue Cross and Blue Shield of Louisiana is ...I agree to only access the portal when authorized for enrollment, billing, and claims administration. I understand that any misuse of such information is strictly prohibited and may violate these laws. I also agree to protect my logon ID and password and to change my password if it becomes compromised. Blue Cross and Blue Shield of Louisiana is ...

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INTRODUCTION. Welcome to Blue Advantage . Thank you for participating in Blue Advantage. As a participating provider, you play an important role in the delivery of health care services to Blue Advantage Plan members, andCurrent Password. Log In. Forgot/Reset Password Need help logging in? iLinkBlue User Guide. Do not save this page to your browser favorites. Click here to be redirected to the page you can save in your browser favorites for iLinkBlue. For login/access issues call (800) 716-2299 option 5 or email [email protected] personal health and wellness goals. Finding specialty care if you need it - your primary care doctor can recommend another doctor or clinic you should see. Catching any issues early, when they are easier to treat. Checking your children's physical, emotional and social development to make sure they are meeting the right age milestones.Blue Cross and Blue Shield of Louisiana Professional Provider Office Manual January 2023 5.0-2 Section 5: Billing and Reimbursement GuidelinesBlue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Y0132_22-425_MKLA. We offer health insurance including medical, dental, Medicare Advantage and prescription drug coverage to individuals, families and employers.The "Family Glitch" now has a fix. Blue Cross and Blue Shield of Louisiana health economist Mike Bertaut explains the fix, who might benefit from it and what producers need to know about it. Shop plans, check your account information, get answers and [email protected] 1-800-716-2299, option 2 - for credentialing questions To update your contact information, complete the Provider Update Form and submit via DocuSign ® .Login - iLinkBlue | Blue Cross Blue Shield of Louisiana. Network Development. Option 1. Fax (225) 297-2750. Provider Credentialing. Option 2. Fax (225) 297-2750. EDI Services. Option 3.365 Blue Offers Great Deals. There are deals from top national brands to make living a healthy lifestyle more fun and affordable. Each week, a special deal of the week is delivered straight to your inbox. Blue Cross and Blue Shield of Louisiana offers lots of money-saving breaks to help you stay healthy.call Medicaid's Customer Service Center at 1-888-342-6207. Assistance is available Monday through Friday, 8 a.m. - 4:30 p.m. Get in-person help at a regional Medicaid office. For the nearest office, visit ldh.la.gov/medicaidoffices. For the first time since 2020, the State of Louisiana is completing Medicaid redeterminations. ….

Blue Advantage (HMO) Plan 010-1. Blue Advantage (HMO) Plan 010-2. Blue Advantage (HMO) Plan 011. Blue Advantage (HMO) Plan 005. Blue Advantage (HMO) Plan 006. Blue Advantage (PPO) Plan 004. Blue Advantage (PPO) Plan 007. Enroll Now Get Free Kit. No premium for Medicare Parts A or D. Act now, save money.If you need assistance, please contact Customer Service at 1-866-508-7145 (TTY: 711), 8 a.m. to 8 p.m., 7 days a week from October - March and 8 a.m. to 8 p.m., Monday - Friday from April - September.This report chronicles our initiatives and efforts in 2021 and throughout the pandemic to create a sustainable enterprise, support communities and meet our corporate mission. Read More. Learn about Blue Cross and Blue Shield of Louisiana, the largest healthcare insurer in Louisiana whose mission is to improve the health and lives of Louisianians.Medicare Advantage Coverage Backed by Blue! With Blue Advantage (HMO) | Blue Advantage (PPO), you get Medicare coverage, plus so much more. Our plans combine medical, hospital and prescription drug coverage in one convenient and affordable plan. You also get extra benefits at no additional cost. Find a Plan Get Free Kit.Finding a Provider. I need help finding a primary care physician or specialist. B. Written by Blue Cross and Blue Shield of Louisiana. Updated over a week ago. We have made it …FEP Customer Service (800) 272-3029. Go to FEP Website. GROUP MEMBERS. POLICIES AND RIGHTS. Lab Reimbursement Policies: Blue Cross and HMO Louisiana. Medical Policies: Blue Cross and HMO Louisiana. Medical Policies:2024 Dual Plus (HMO-POS D-SNP) Plan H6453-019 - $0-$30.30 per month. Go Back. Available statewide. $0-$30.30 premium. $4,200 on a Flex Card to pay for out-of-pocket costs, including: $1,500 to pay for prescription hearing aids. $300 to pay for eyewear like eyeglasses and contact lenses from your choice of hundreds of participating …BCBSLA is not responsible for the accuracy, content, views or privacy policies of that website. Any information that you provide to the third party will be subject to the terms of that website including, but not limited to, those related to confidentiality, data privacy and security. You should contact the external site if you have questions ...Current Password. Log In. Forgot/Reset Password Need help logging in? iLinkBlue User Guide. Do not save this page to your browser favorites. Click here to be redirected to the page you can save in your browser favorites for iLinkBlue. For login/access issues call (800) 716-2299 option 5 or email [email protected] Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. We offer health insurance including medical, dental, Medicare Advantage and prescription drug coverage to individuals, families and employers. Bcbsla, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]