PA Resources Portlet

Resources

CODING & DOCUMENTATION

EDUCATION & EVENTS

ENROLLMENT & CREDENTIALING

FORMS & MANUALS

Forms

Manuals

Clinical & Health Improvement Information

HEALTHCARE INFORMATION & TECHNOLOGY

PATIENT HEALTH

PHARMACY

POLICIES & GUIDELINES

PRE-SERVICE REVIEW

PROGRAMS & INITIATIVES

PROVIDER NETWORKS & SPECIALTIES

PA Dynamic Rendering

Manuals

Manuals

The Blue Cross and Blue Shield of Alabama manuals list general program guidelines and information. Navigate to the appropriate manual listed below to find specific information about general services, billing requirements, coding guidelines or important contact information.

Additional Operational Policies are listed under Policies & Guidelines.

Preferred Home Health Network

Preferred Home Infusion Network

Preferred Occupational Therapist Network

Preferred Speech-Language Pathologist Network

Medicaid Claims Handling for Medicaid Members
Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in California, Delaware, Hawaii, Illinois, Indiana, Kentucky, Michigan, Minnesota, New Jersey, New Mexico, New York, Pennsylvania, Puerto Rico, South Carolina, Tennessee, Texas, Virginia and Wisconsin as a Managed Care Organization (MCO), providing comprehensive Medicaid benefits to the eligible population. Because Medicaid is a state-run program, requirements vary for each state, and thus each BCBS Plan.
Provider Manual
This is a generic manual that provides helpful contact information, valuable resources, claims processing and operational information as well as information regarding preferred care and participating programs. The content of the manual is intended to be general and applicable to providers of all specialties.