Healthy Blue Billing Guidelines

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Reimbursement Policy - Healthy Blue Lou…

(4 days ago) WEBHealthy Blue Provider Billing Guide Provider Services: 844-594-5072 https://provider.healthybluenc.com . necessity guidelines appropriate to the procedure and diagnosis, as well as to the member’s state of residence. Proper billing and …

https://provider.healthybluela.com/docs/gpp/LA_CAID_RP_STITesting.pdf?v=202110261731

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Reimbursement Policy - Healthy Blue Louisiana

(8 days ago) WEBHealthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. BLA-RP-0209-21 …

https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_ModifierUsuage.pdf?v=202102232123

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Reimbursement Policies Healthy Blue Louisiana

(3 days ago) WEBReimbursement Policies. We want to assist physicians, facilities and other providers in accurate claims submissions and to outline the basis for reimbursement if the service is …

https://provider.healthybluela.com/louisiana-provider/claims/reimbursement-policies

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Claims and Billing Tool - Healthy Blue Louisiana

(2 days ago) WEBHealthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. …

https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_ClaimsTimelyFiling.pdf?v=202101282004

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Provider Manuals And Guides Healthy Blue Louisiana

(1 days ago) WEBProvider 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 …

https://provider.healthybluela.com/louisiana-provider/resources/provider-manuals-and-guides

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Reimbursement Policies Healthy Blue

(2 days ago) WEBThe billed code (s) should be fully supported in the medical record and/or office notes. Industry practices are constantly changing and Healthy Blue reserves the right to …

https://provider.healthybluemo.com/missouri-provider/claims/reimbursement-policies

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Healthy Blue Medicaid Managed Care Provider Manual

(3 days ago) WEBsystem or otherwise, without the prior written permission of Healthy Blue. How to apply for participation If you are interested in participating in the Healthy Blue network, please …

https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_ProviderManual.pdf

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Reimbursement Policy - Healthy Blue Louisiana

(4 days ago) WEBIf appropriate coding/billing guidelines or current reimbursement policies are not followed, Healthy Blue may: Reject or deny the claim. Recover and/or recoup claim payment. …

https://provider.healthybluela.com/docs/gpp/LA_CAID_RP_STITesting.pdf?v=202110261731

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Reimbursement Policy - Healthy Blue Provider

(1 days ago) WEBHealthy Blue Claims Submission — Required Information for Professional Providers Page 3 of 3 Policy History (04/12/21) Biennial review approved; minor administrative updates …

https://provider.healthybluesc.com/docs/inline/SCHB_RP_ReimbAdmin_ClaimsSubmission_ReqInfoforProviders.pdf?v=202111102307

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Search Medical Policies and Clinical Guidelines - Healthy Blue …

(4 days ago) WEBThere are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and clinical utilization management (UM) …

https://provider.healthybluela.com/louisiana-provider/medical-policies-and-clinical-guidelines

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Billing Guidance for Healthy Blue Providers

(8 days ago) WEBThe preferred way to submit and manage PA requests is by using the interactive care reviewer (ICR) on Availity Essentials. PA request including an urgent authorization …

https://provider.healthybluenc.com/docs/gpp/HBNC_CAID_BillingGuidance.pdf?v=202311162112

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PROVIDER ADMINISTRATIVE OFFICE MANUAL

(2 days ago) WEBHealthy Blue has entered into a contract with the SCDHHS to serve the South Carolina Medic-aid population. Healthy Blue provides many of the services required to …

https://www.healthybluesc.com/sites/default/files/HIAI_217603_23_Healthy%20Blue%20Provider%20Administrative%20Office%20Manual_V7.pdf

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Reimbursement Policies Healthy Blue

(2 days ago) WEBReimbursement Policies. We want to assist physicians, facilities and other providers in accurate claim submissions and to outline the basis for reimbursement if the service is …

https://provider.healthybluene.com/nebraska-provider/claims/reimbursement-policies

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Reimbursement Policies - Healthy Blue North Carolina Providers

(1 days ago) WEBReimbursement Policies. We want to assist physicians, facilities and other providers in accurate claims submissions and to outline the basis for reimbursement if the service is …

https://provider.healthybluenc.com/north-carolina-provider/reimbursement-policies

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Healthy Blue Provider Manual

(5 days ago) WEBcommittees. Please feel free to call Healthy Blue Provider Services at 844-594-5072 with any suggestions, comments and/or questions. Together, we can make a real difference …

https://provider.healthybluenc.com/docs/inline/NCNC_CAID_ProviderManual.pdf

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Healthy Blue FAQ

(5 days ago) WEB8. Will Healthy Blue be following the new 2021 CMS guidelines for coding and billing (for example, ER visits)? Yes, as of January 1, 2021, the CMS guidelines for 2021 will be …

https://provider.healthybluene.com/docs/gpp/NE_CAID_HealthyBlueFAQ.pdf?v=202104062349

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Healthy Blue Member Handbook: Integrated Health Services

(6 days ago) WEB3850 North Causeway Boulevard, Suite 1770. Metairie, LA 70002 844-521-6941 (TTY 711) myhealthybluela.com. Welcome to Healthy Blue. You will get most of your healthcare …

https://www.myhealthybluela.com/la/lala_caid_mhb_eng.pdf

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OB billing and maternity guide Obstetric practice consultant

(4 days ago) WEBbilling guidelines 19 • To avoid denial of the claim, the fully executed Sterilization Consent Form must be included with the claim submitted for any sterilization procedure listed on …

https://provider.healthybluemo.com/docs/gpp/MO_CAID_OBBillingMaternityGuide.pdf?v=202103091847

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Search Medical Policies And Clinical Guidelines Healthy Blue

(3 days ago) WEBThe MCG Care Guidelines we are licensed to use include 1) Inpatient & Surgical Care (ISC), 2) General Recovery Care (GRG), 3) Recovery Facility Care (RFC), 4) Chronic …

https://provider.healthybluene.com/nebraska-provider/medical-policies-and-clinical-guidelines

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