Adult Preventive Guidelines (updated 9/8/08) 

 

Assistant Surgeon Manual:

• April 23, 2012 - June 2, 2013 - Version 49
• June 3, 2013 and Forward - Version 51

Audit - Facility/Provider Sampling and Extrapolation Policy

 

Breast Pump (how to determine eligibilty) 

 

Cardiac Rehabilitation Resources

 

Catamount Blue Pricing 7/01/11 frequently asked questions   

 

Claims Requiring Paper Submission

 

Clinical Practice Guidelines

 

CMS 1500 Billing Instructions

 

Correct Claim eFaxing or Email

 

DME Prior Approval Submission Guidelines

 

FAHC transition to BCBSVT Overview

 

FAHC transition to BCBSVT FAQ

 

FAHC Sample ID Cards

 

Federal Preventive Grid (12/11)  

 

Federal Preventive Grid for Renewals after 7.31.12  

 

Identifying BCBSVT, CBA Blue, TVHP and NEHP Members

 

Institutional Billing of Late Charges

 

Magellan Contact Information

 

Medicare Advantage Claim Requirements

 

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

 

New England Health Plan (NEHP) Medical Services requiring Referral Authorization

 

New Provider Relations Consultant Territory Map

 

OP Revenue Codes Requiring CPT or HCPC

 

Pre and Post Operative Manual:

• April 23, 2012 - June 2, 2013 - Version 49
• June 3, 2013 and Forward - Version 51

Prior Approval - Medical Services Comprehensive Procedure and CPT Code Listing

 

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

 

Provider Manual (2.8 MB PDF)

Surgical Tray Manual:

• April 23, 2012  and June 2, 2013  - Version 49
• June 2, 2013  and Forward  - Version 51

UB-04 Billing Instructions

 

UB-04 Form

 

Unit Designations