For Providers

Provider Guide — MedicareBlue PPO

Refer to the MedicareBlue PPO provider guide when you need an up-to-date resource for information on coverage, coding, billing, and reimbursement. You may download and print sections of the guide or the entire guide simply by choosing from the list below:

Entire provider guide (PDF) (please be aware this is a large file)
Introduction (PDF)
Contact and Administrative Information (PDF)
Claims and Operations (PDF)
Medical Management and Quality (PDF)
Payment Methodology and Reports (PDF)
Appeals (PDF)
Glossary (PDF)

May 16, 2008

Important Information

This page last updated and accepted by CMS January 2008.

MedicareBlue PPO and MedicareBlue Rx coverage is provided by only one of the following plans, depending on the state in which the policy is issued: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* and Blue Cross Blue Shield of Wyoming.*

*Independent licensees of the Blue Cross and Blue Shield Association.

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