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The Bluebird Program Manual23XX4272 R12/17Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service
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01
Obtain the form bluecard program provider from the relevant authority.
02
Read and understand the instructions provided with the form.
03
Fill out the personal information section accurately, including name, contact information, and any other required details.
04
Provide details about your professional background and qualifications as a program provider.
05
Indicate the specific programs you will be providing under the bluecard program.
06
Attach any supporting documents or certifications as required.
07
Review the completed form for any errors or missing information.
08
Sign and date the form.
09
Submit the filled-out form along with any required fees or documentation to the relevant authority.
10
Wait for the processing of the form and follow up with the authority if necessary.
Who needs form bluecard program provider?
01
Individuals or organizations who wish to become program providers under the bluecard program.
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What is form bluecard program provider?
Form BlueCard Program Provider is a form used by insurance companies to report information about healthcare providers who participate in the BlueCard Program. This program allows patients with BlueCross BlueShield coverage to receive healthcare services from providers across the country.
Who is required to file form bluecard program provider?
Insurance companies that participate in the BlueCard Program are required to file Form BlueCard Program Provider.
How to fill out form bluecard program provider?
Form BlueCard Program Provider can be filled out electronically or on paper. The form requires information about the healthcare provider, including their name, address, specialty, and BlueCard Program participation status.
What is the purpose of form bluecard program provider?
The purpose of Form BlueCard Program Provider is to ensure that accurate information about healthcare providers participating in the BlueCard Program is reported to insurance companies. This helps facilitate coordination of care for patients with BlueCross BlueShield coverage.
What information must be reported on form bluecard program provider?
Information that must be reported on Form BlueCard Program Provider includes the healthcare provider's name, address, specialty, National Provider Identifier (NPI), Tax Identification Number (TIN), and BlueCard Program participation status.
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