Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Booster shots are not included. Additional sources are used and can be provided upon request. Access electronic services including iLinkBlue, online authorizations and more. If you're looking for a straight answer to your healthcare questions, this is the place. This plan offers $25 primary care co-pays and $50 specialty care co-pays. Aetna Waived 4-Jun Teladoc options through the Aetna Health app; Network providers who deliver virtual care, such as live video - conferencing; and other virtual Member Discounts Take advantage of member-only discounts on health-related products and services. We require credentialing for both professional and facility providers. Learn more about what's covered and what's available to you on your new health plan. Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc. an independent licensee of the Blue Cross and Blue Shield Association. For more information on the above change(s), use our Fee Schedule Request Form and specifically request the updates on the codes listed in the Blue Review. Find out which plan is right for you. Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service & Indemnity Company. Most PDF readers are a free download. Medical Policies and Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Explanation Of Payment (EOP) Policy Crosswalk. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana. Professional providers participating in our Preferred Provider Option (PPO), Blue High Performance NetworkSM (BlueHPNSM) and Blue Choice PPOSM networks may use the Fee Schedule Listing tool on Availity Essentials to submit electronic requests and receive the contracted price allowance for specific codes. Our fee schedule is being updated to better align with the market and standards set by Centers for Medicare & Medicaid Services (CMS). More Information, English | Our fee updates reflect generally applicable market changes, such as CMS code changes, pricing for newly available drugs, fluctuations in prices for listed drugs, other market shifts, correction of over- or undervalued fees, and modifications based on ongoing utilization analysis. The site may also contain non-Medicare related information. Providers' News / March 2020 Physician fee schedule adjustment delayed, due to COVID-19 Statewide net increase for inpatient hospital, outpatient hospital and ambulatory surgery center services moves ahead Visit Blue365. Annual and quarterly fee schedule updates may be requested by using the Fee Schedule Request Form. LOUISIANA MEDICAID APPLIED BEHAVIORAL ANALYSIS FEE SCHEDULE Effective for Dates of Service on or After July 1, 2022. When a PMD refers a test to a PML, the PML will bill Blue Cross and Blue Shield of Alabama directly for the test. We are excited to announce the release of Provider Contract and Fee Schedule Notifications! It's also called a formulary. For CPCPLAB policies, refer to theLaboratory Benefit Management Programpage. Our insurance plans are high-quality and deliver value for our customers. CPT copyright 2021 American Medical Association (AMA). Our plans combine medical, hospital and prescription drug coverage in one convenient and affordable plan. Find previous articles about network, admin rep, Blue Advantage and other special topics. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. Participating physicians with access to Blue e have the ability to view their fee schedule. In Connecticut: Anthem Health Plans, Inc. There may be times when these policies are superseded by state, federal or CMS requirements. Understand your plan, learn about health savings accounts, and watch helpful videos. Starting June 10, 2020, Blue Cross Dental Blue members can get free access to the Toothpic app for 3 months. Look for the "Fee Schedule" link under Payment & Refund in the main menu. In every state and every community, BCBS companies are making a difference not just for our members, but For the Health of America. Information current and approximate as of December 31, 2018. If you have questions about this communication or need assistance with any other item, contact your local Provider Relations representative or call Provider Services at 1-855-661-2028. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Starting in Mid-July, when Anthem notifies you of a statewide fee schedule update or provider contract amendment, you can log into Availity.com and download a digital copy of your content.. Over the last few months, we have been tirelessly working to improve our service . We can help you find the right coverage for your needs. | Nov 1, 2020 Reimbursement Policies | Healthy Blue Louisiana Reimbursement 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 covered by a member's benefit plan. Blue Cross and Blue Shield Service Benefit Plan www.fepblue.org 2021 . Find out how Blue Advantage helps keep you safe during the COVID-19 pandemic. Member Discounts Take advantage of member-only discounts on health-related products and services. | To view this file, you may need to install a PDF reader program. We offer a series of disease and case management programs. Choose a state to see how Blue Cross Blue Shield is working in your community. In Maine: Anthem Health Plans of Maine, Inc. Blue Cross wants to help your patients live healthy lives. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. Summary of Privacy Practices Notice & Member Data Protection Statement, Notice of Non-Discriminatory Practices & Multi-Language Interpreter Services. Thinking about your Medicare options? You may also see our Summary of Benefits for more information. Date: Effective July 1, 2019, we are updating our standard fee schedule and rates. This change is applicable to providers who are reimbursed, either in whole or in part, based on the fee schedule for laboratory services for Medicaid. We offer a complete choice of plans to meet your coverage needs and fit your budget. Considerations for 2022 rate increases for Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc., individual and small group products include: Expected medical trend in both utilization and cost of services Expected changes in the average morbidity (Individual products only) To access your member services, please visit your BCBS company. Providers and facilities are required to use industry standard codes for claim submissions. Find my BCBS company. Blue Cross and Blue Shield of Louisiana Enters Into Definitive Agreement to be Acquired by Elevance Health, Deal will result in $3 billion foundation focused on improving Louisiana. Join the conversation and stay connected with us for exclusive content. Information current and approximate as of December 31, 2018. Jan. 24, 2020. When a PMD refers a test to a non-PML laboratory . To view the 2019 Commercial and Medicare Advantage fee schedules that will be effective July 1, 2019, please click the button below. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Professional allowances are generally reviewed on an annual basis with Blue Shield giving providers at least 60 days advance notice of any changes in our allowances. 322Monroe, LA71201, Toll Free:1-800-232-4967(TTY 711)Fax:1-877-553-6152, Telephone lines are open 8 a.m. to 8 p.m., 7 days a week. Log into My Insurance Manager SM to download the fee schedules. | Blue Shield's allowances are subject to periodic review. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Local Provider Directory Espaol | Your card opens the door to a large network of top doctors to care for you. We have partnered with Lucet for their expertise in the provision of mental health services. Blue Cross and Blue Shield of Louisiana, an independent licensee of the Blue Cross Blue Shield Association, offers Blue Advantage (PPO). External link You are leaving this website/app (site). The conversion factor for certain codes may vary by place of service. Prior Authorization Services For Fully Insured and ASO, Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO), Prior Authorizations Lists for Designated Groups, Prior Authorization Exemptions (Texas House Bill 3459), Medicare Advantage Private Fee-for-Service (PFFS), Eligibility and Benefits Inquiry (HIPAA 270/271), Behavioral Health Care Management Program, Quality Care Partner With Your Patients, Preventive Care Guidelines/Patient Wellness Guidelines, Health Equity and Social Determinants of Health (SDoH), Prescription Drug List and Prescribing Guidelines, Prior Authorization and Step Therapy Programs, Medical Policy and Pre-certification/Pre-authorization Information for Out-of-Area Members, Consolidated Appropriations Act and Transparency in Coverage Final Rule. To view the NDC Reimbursement Schedule, registerorlog into Blue Access for Providers. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Evaluation & Management services Enrollment in either Blue Advantage plan depends on contract renewal. Blue Cross and Blue Shield of Texas, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). And we do research to make sure the drugs . BLAPEC-0815-18 April 2018. Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Date . | If you just found out that you need surgery, or if you will be admitted to a hospital or ambulatory surgical center for any reason, you will most likely receive some care during your stay from a hospital-based physician. Certain policies may not be applicable to Self-Funded Members and certain insured products. Alaska Fee Schedule | Provider | Premera Blue Cross Blue Shield of Alaska Alaska Fee Schedule March 4, 2021 We're updating the Premera Blue Cross Blue Shield of Alaska plan fee schedule for professional services effective for dates of service beginning May 15, 2021. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Choose new challenge questions and answers when prompted. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. As in the past, BCBSRI uses the Rhode Island Medicare Fee Schedule (RIMFS) and its resource-based relative value scale (RBRVS) pricing methodology, as the basis for development of our fee . In Kentucky: Anthem Health Plans of Kentucky, Inc. Learn more about the many programs that can benefit you and your patients. | For login/access issues call (800) 716-2299 option 5 or email PIMTeam@bcbsla.com. Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service & Indemnity Company. External links open in new windows to websites Blue Cross and Blue Shield of Louisiana does not control. An email address is required in the space below. The downloadable form is available on the Forms page on our Provider website. Our new SmartShopper tool lets members compare common medical procedures based on price and location. 2023 Blue Cross Blue Shield Association. BCBSRI is updating its standard fee schedule again for commercial and Medicare Advantage products for dates of service occurring on or after November 1, 2022. Access manuals, speed guides, tidbits, presentations, tutorials and forms. | Whether you want to quit smoking or find the right doctor, we have many programs to help. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. The updated fee schedule will be available on the Availity Portal* on the effective date of January 1, 2021. Most PDF readers are a free download. All Rights Reserved. Healthy Louisiana plans require behavioral health providers to bill according to the Medicaid One option is Adobe Reader which has a built-in reader. The federal. Blue Cross Blue Shield of Arizona (BCBSAZ) fee schedules are based on a number of pricing sources that can influence the need for changes. The site may also contain non-Medicare related information. Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Keep in mind that determination of coverage under a member's benefit plan does not necessarily ensure reimbursement. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). The State Health Plan dental and health fee schedules are available to download in Excel file formats. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Copyright 2022 Blue Cross and Blue Shield of Louisiana. Fee schedulesBCBSILs Schedule of Maximum Allowancesare a key component of your contractual relationship with BCBSIL, and we want to help ensure that you always have the most up-to-date information. Ting Vit | 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 origin, age, disability or sex. Every year, Medicare evaluates plans based on a 5-star rating system. Important Information from Blue Cross and Blue Shield of Louisiana: Hurricanes COVID-19 We work with doctors, hospitals and clinics around Louisiana to make sure you have a better healthcare experience. Section 4: Medical Management - Updated 1/31/2023. App Store is a service mark of Apple Inc. Google Play is a trademark of Google Inc. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. You also get extra benefits at no additional cost. Section 3: Member Engagement - Updated 1/1/2023. Blue Cross and Blue Shield of Texas (BCBSTX) is implementing changes in the maximum allowable fee schedule for Blue Choice PPO SM, Blue EssentialsSM (including HealthSelect SM of Texas Network), Blue Premier SM, Blue Advantage HMO SM, MyBlue Health SM and PAR Plan networks (collectively referred to as "Networks") effective March 1, 2020.. We are also pleased to welcome new providers on board. Hear what Blue Advantage members love about their plans. Here's what you need to know about this change. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Electronically submit and manage requests for services and procedures. You can preview the updates on the secure provider portal starting April 1, 2021. | We can help you find the right coverage for your needs. In addition, some sites may require you to agree to their terms of use and privacy policy. To view this file, you may need to install a PDF reader program. Please complete the information below to request a fee schedule. This new site may be offered by a vendor or an independent third party.
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