Doing Business with Us

Blue Cross employees review our Code of Business Conduct each year and sign an acknowledgment form to demonstrate our commitment to the highest standards of integrity.

The Code of Business Conduct:

• Provides guidelines to help employees and business partners understand our standards of ethical business practices and integrity.
• Creates the expectation that we will conduct business in an ethical and legal manner at all times.
• Helps ensure that employees comply with appropriate laws and regulations.
• Helps ensure that employees conduct business using good judgment, common sense and sensitivity.
• Helps avoid any potential actions that could create a conflict of interest with the company's assigned duties.

We also ask those doing business with us to review our Code of Business Conduct to understand our requirements for compliance and ethical conduct.

Contacting the Compliance and Ethics Department

Call:
1-800-973-7707

Write:
Compliance and Ethics Department
P.O. Box 84656
Baton Rouge, LA 70884-4656

Fax:
(225) 295-2599

Email:
compliance.office@bcbsla.com

Blue Cross maintains a comprehensive privacy and security program to give all of our members the highest degree of confidentiality.

Our policies and procedures may sometimes seem designed to make it hard for you to review your own information. In fact, they're here to ensure that your private information doesn't reach the wrong person by mistake.

Examples

• When you call with questions about your policy, we will ask several questions to verify your identity.
• You have to provide your contract number for us to access your information. Your contract number is printed on your ID card and is labeled "Member ID."
• Adults (18 years of age or older) on the same policy cannot receive information about each other unless they give us written permission by filling out and returning an Authorized Delegate Form.
• For example, a wife will need to sign an Authorized Delegate Form to allow her husband to talk to our Customer Service representatives or Care Management nurses about her.
• The same is true for parents who want to ask about a college-age child or another covered dependent who is age 18 or older.
• Explanations of Benefits provide details about how much of your benefit was paid for each medical service received. That's why we usually mail these statements and other items to the attention of the patient rather than the policyholder.

Privacy Resources

Authorized Delegate Form

Privacy Notice

Notice of Privacy Practices Regarding Medical Information

Contact Information

Privacy Office
Phone: 225.298.1751
E-mail:  Privacy.Office@bcbsla.com

Standard & Poor's National Rating Service

Blue Cross and Blue Shield of Louisiana has 22 consecutive "A" ratings for our financial strength from noted national rating service Standard & Poor's.

One Standard & Poor’s report states, "Blue Cross’ competitive position is strong and … is built upon key strengths such as its large market share, high brand awareness, broad provider networks with good discounts, local market expertise and service, and competitive product offerings."

Standard & Poor's is the world's foremost provider of benchmarks for measuring corporate financial health.

Accreditations

We hold the four accreditations noted below from the national healthcare standard organization, URAC, a Washington, D.C.-based healthcare accrediting organization well-known for establishing quality standards for the healthcare industry. (Excludes ITS host, OGB, City of BR, Medicare groups, VIP hospital supplement policy and cancer & serious disease policies) We also hold the SSAE16SOC1 Type II Audit Certification.

HMO, Louisiana (Health Plan)

HMO, Louisiana (Health Plan with Marketplace)

Louisiana Health Service & Indemnity Company & FEP (Health Plan)

Louisiana Health Service & Indemnity Company (Marketplace)

HEDIS
HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the health care quality. Blue Cross and Blue Shield of Louisiana has successfully completed the NCQA-Certified HEDIS® Compliance Audit™. By undergoing this audit, we add a higher level of integrity to HEDIS data and improve quality to our members.

HEDIS (Marketplace)

HEDIS (Commercial)

• You have the right to be provided with information on your health plan, its services, the practitioners providing care and your rights and responsibilities in clear, understandable language.
• You have the right to receive medically necessary care that is covered under your benefit plan and is provided or arranged by your healthcare provider.
• You have the right to be informed by your healthcare provider about your diagnosis, treatment options and prognosis in clear, understandable language.
• You have the right to participate with practitioners when making decisions regarding your healthcare.
• You have the right to refuse treatment.
• You have the right to be treated with respect and recognition of your dignity and privacy.
• You have the right to the confidentiality of information concerning your medical treatment.
• You have the right to express verbal or written complaints about Blue Cross/HMO Louisiana or the medical care provided, and to a timely response when appropriate.
• You have the right to a candid discussion of all appropriate, medically necessary options for your condition(s).
• You have the right to know how your physician and other healthcare professionals are compensated by Blue Cross/HMO Louisiana.
• Members who participate in Case Management should view the Case Management Rights as well.
• Members who participate in Disease Management should view the Disease Management Rights and Responsibilities as well.
  
  

• You are responsible for reading and understanding all material concerning your health benefits.
• You are responsible for complying with all terms of membership with your health plan.
• You are responsible for developing and maintaining a satisfactory physician-patient relationship.
• You are responsible for following instructions and guidelines as agreed upon by you and your healthcare provider.
• You are responsible for engaging in a healthy lifestyle and in safety practices.
• You are responsible for providing, to the extent possible, complete and accurate information that Blue Cross/HMO Louisiana and its practitioners and providers need in order to care for you.
• You are responsible for making and keeping appointments, or canceling in advance if unable to make your appointment.
• You are responsible for paying copayment and/or coinsurance amounts required under your health plan.
• You are responsible for notifying your employer or Blue Cross of any other healthcare coverage of which you are a beneficiary, and for cooperating in coordinating benefits. 

Blue Cross and Blue Shield of Louisiana upholds the highest standards in doing business with vendors and suppliers, producers, providers and the public. We expect our business partners to do the same.

We invite vendors with an interest in doing business with Blue Cross to register on our Supplier Portal hosted by Supplier IO to let us know about the goods and services you provide.  We invite businesses of all types and sizes to register.

Diversity
Blue Cross also encourages diverse supplier participation in our bidding opportunities. We promote vendor diversity by contracting with vendors who:

• Reflect our market and customer base
• Contribute to our local economy
• Can provide expected value
• Meet vendor performance requirements

If you feel you have a good or service that would benefit our operations, we encourage you to register in our Supplier Portal using the following link  https://bcbsla.supplierone.co/

Contact Information
SupplierOpportunity@bcbsla.com