Your Professional Provider Manual has been updated

June 10, 2015 - We have made several updates to the Professional Provider Manual, including but not limited to the following:

  • Updated the Office Injectable Drugs section
    • Added Standard Reimbursement Methodology
    • Added Exceptions to Standard Pricing Methodology
  • Updated the Disease Management Programs to reflect the 10 chronic conditions that are currently eligible for this program: asthma, diabetes, coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD), heart failure, chronic low back pain, osteoarthritis, atrial fibrillation, irritable bowel syndrome (IBS), and fibromyalgia.
  • Updated the BlueChoice Procedure Code Exception Charts with codes effective in 2015.

Remember, per the terms of your Participation Agreement, you are required to adhere to all policies and procedures contained in this manual, as applicable to your practice.

Whenever we make any changes to this manual, we will notify you through email and BlueLink, our online provider newsletter.