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Reference Guides

 

 

Adult Preventive Guidelines (updated 9/8/08)  Download PDF

 

Assistant Surgeon Manual:

Audit - Facility/Provider Sampling and Extrapolation PolicyDownload PDF

 

Breast Pump (how to determine eligibilty) 

 

Cardiac Rehabilitation Resources

 

Catamount Blue Pricing 7/01/11 frequently asked questions    Download PDF

 

Claims Requiring Paper Submission Download PDF

 

Clinical Practice Guidelines

 

CMS 1500 Billing InstructionsDownload PDF

 

Correct Claim eFaxing or EmailDownload PDF

 

DME Prior Approval Submission GuidelinesDownload PDF

 

FAHC transition to BCBSVT OverviewDownload PDF

 

FAHC transition to BCBSVT FAQDownload PDF

 

FAHC Sample ID CardsDownload PDF

 

Federal Preventive Grid (12/11)  Download PDF

 

Federal Preventive Grid for Renewals after 7.31.12  Download PDF

 

Identifying BCBSVT, CBA Blue, TVHP and NEHP MembersDownload PDF

 

Institutional Billing of Late Charges Download PDF

 

Magellan Contact InformationDownload PDF

 

Medicare Advantage Claim RequirementsDownload PDF

 

Medicare Advantage Private Fee-for-Service (PFFS) Terms and Conditions Web Finder Tool  New window

 

New England Health Plan (NEHP) Medical Services requiring Referral AuthorizationDownload PDF

 

New Provider Relations Consultant Territory Map Download PDF

 

OP Revenue Codes Requiring CPT or HCPCDownload PDF

 

Pre and Post Operative Manual:

Prior Approval - Medical Services Comprehensive Procedure and CPT Code Listing Download PDF

 

Prior Approval - DME, Orthotics, and Prosthetics Comprehensive Procedure and CPT Code Listing Download PDF

 

Provider Manual (2.8 MB PDF)Download PDF


Surgical Tray Manual:

UB-04 Billing Instructions Download PDF

 

UB-04 Form

 

Unit Designations Download PDF