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Get the free Provider Manual - BlueChoice HealthPlan Medicaid

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Cms. hhs. gov. Specialty Referrals Entering the NPI on the CMS-1500 Individual NPI not the Billing NPI of the referring PCP in box 17b on the CMS-1500 claim form. For EDI claims please enter the Individual NPI in Loop 2310A. Refer to BlueChoice HealthPlan Medicaid s website at www. BlueChoiceSCMedicaid.com and select Providers Prior Medicaid s CCC for information on electronic claims. To request health education materials please call BlueChoice HealthPlan Medicaid s CCC at PCPs should perform...
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01
To fill out the provider manual for BlueChoice, please follow these steps:
02
Obtain a copy of the provider manual from the official BlueChoice website or contact their customer support for assistance.
03
Carefully read through the entire manual to understand the guidelines and requirements set by BlueChoice.
04
Gather all necessary information and documentation that will be needed to complete the provider manual. This may include personal identification, medical licenses, proof of qualifications, and relevant medical certificates.
05
Start filling out the provider manual by providing accurate and up-to-date personal information in the designated sections. This may include name, address, contact details, and professional credentials.
06
Proceed to the specific sections of the manual and provide the requested information accordingly. This may include details about services offered, accepted insurance plans, medical specialties, and billing procedures.
07
Review all information filled in the provider manual for any errors or missing details. Ensure that all provided information is complete and accurate.
08
Submit the filled-out provider manual to BlueChoice through their preferred method, which can be either via mail, email, or online submission.
09
Keep a copy of the filled-out provider manual for your records and have it readily available for any future updates or inquiries from BlueChoice.
10
Await confirmation or feedback from BlueChoice regarding the acceptance of your provider manual. Follow up if necessary.
11
Once the provider manual is accepted, familiarize yourself with its contents and adhere to the guidelines and policies set by BlueChoice to maintain a successful partnership.

Who needs provider manual - bluechoice?

01
The provider manual for BlueChoice is needed by healthcare professionals, medical practitioners, and facilities who wish to become network providers for BlueChoice insurance plans.
02
This manual serves as a comprehensive guide for understanding BlueChoice's protocols, coverage criteria, reimbursement guidelines, and other important information that providers must adhere to when offering medical services to BlueChoice members.
03
Healthcare professionals who aim to be part of BlueChoice's network and accept BlueChoice-insured patients should refer to the provider manual to ensure they meet the necessary qualifications and follow the required procedures.
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Furthermore, existing network providers may also need to reference the provider manual periodically to stay updated with any changes or updates in BlueChoice's policies or procedures.
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Provider manual - bluechoice is a comprehensive guide for healthcare providers who participate in the BlueChoice network. It outlines the rules, policies, and procedures that providers must follow in order to participate in the network.
All healthcare providers who are part of the BlueChoice network are required to file the provider manual.
Providers can fill out the provider manual by following the instructions provided in the document and submitting any required forms or documentation.
The purpose of the provider manual is to ensure that all healthcare providers in the BlueChoice network are aware of and comply with the policies and procedures set forth by the network.
Providers must report information such as their contact information, services offered, billing practices, and any changes to their practice or credentials.
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