Provider Manuals give detailed descriptions of our programs and networks. View Speed Guides for a quick reference for certain network policies and procedures. Tidbits are reference guides designed to be quick tips/hints that assist providers with our current business practices and processes.
Professional Provider Offers information needed to participate in our provider networks.
HMO Louisiana Provider Focuses primarily on guidelines unique for our HMO members and is to be used in addition to our Professional Provider Office Manual.
BlueCard® Program Explains the program that links participating healthcare providers and the independent Blue Cross and Blue Shield Plans across the country through a single electronic network.
Dental Network Offers in-depth information on our dental networks.
Staying current with preventive recommendations is an important part of your overall wellness.
Our preventive medicine guidelines identify preventive services for customers based on age, gender and risk level. The guidelines outline screening tests for early disease detection, immunizations to prevent infections or disease, counseling to reduce risks and recommendations on prenatal care. The guidelines, based on industry standards, are reviewed and established by the Blue Cross Medical Quality Management Committee which includes network physicians.
Preventive Medicine Guidelines
Guidelines were revised in December 2011.
Immunization SchedulesView up-to-date immunization schedules from the National Centers for Disease Control and Prevention.
Contact Informatione-mail: Network.Administration@bcbsla.com
Periodically, Blue Cross and Blue Shield of Louisiana holds provider workshops around the state. These workshops are available to providers and their staff. Workshops offer training, educational materials, and insight into Blue Cross' practices, standards and future in the marketplace.
Below are our 2011 workshop presentations, available in .pdf format for your use or review:
Pieces of Blue for a Better You Presentation (PDF)
HIPAA 5010 Instructional Presentation (PDF)
In collaboration with the Blue Cross and Blue Shield Association (BCBSA) and Blue companies nationwide, Blue Cross and Blue Shield of Louisiana offers our providers the Good Health Club Physician ToolkitSM. The tool kit includes unique educational materials designed to foster better communication between you and your patients on childhood obesity and diabetes prevention.
The Good Health Club Physician Toolkit features messages from the “Good Health Club,” a group of animal characters who encourage children to:
Included in the toolkit are:
To request a supply of toolkits for your office or for more information, contact our Provider Relations department at Provider.Relations@bcbsla.com, ATTN: Pediatric Toolkit.
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