provider connection
 

Provider Manuals

Find benefit guidelines and procedure manuals for providers.

In This Section

HMO Benefit Guidelines - January 2017

Get benefit details such as coverage criteria, copayments, benefit exclusions and limitations for IPAs, medical groups and their contracted providers.

HMO IPA/Medical Group Procedures Manual - January 2017

Find policies and procedures for IPAs, medical groups and their contracted providers.

Hospital and Facility Guidelines - January 2017

Find policies and procedures for network hospitals, ambulatory surgery centers, dialysis centers and skilled nursing facilities.

Medical Interface Manual - January 2017

Learn about Blue Shield's Mental Health Service Administrator protocols, developed to facilitate coordinated medical and behavioral health care.

Independent Physician and Provider Manual - January 2017

Find policies and procedures for direct-contract Blue Shield network providers.