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 overall wellness.
Preventive and wellness 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 for prenatal care.
The guidelines are based on industry standards and reviewed by the Blue Cross Medical Quality Management Committee which includes network physicians.
View a personalized list of preventive and wellness guidelines and services from the U.S Preventive Services Task Force using “myhealthfinder”. Before seeking services, log in at bcbsla.com. Click on "MY PLAN" for benefits and "FIND A DOCTOR OR DRUG" for plan participants.
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 workshop presentations, available in .pdf format for your use or review:
2015 - Professional Worskshop Presentation
2015 - Fall Facility Workshop Presentation
2015 - Behavioral Health Workshop
2014 - Our Focus Is You
2014 - Facility Workshop
2014 - Risk Adjustment Workshop
2013 - Growing New Ideas
2013 - Let’s Talk About It – Healthcare Reform
2011 - Pieces of Blue for a Better You
2011 - HIPAA 5010 Instructional
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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