Healthy Blue South Carolina Guidelines

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Member Materials Healthy Blue of South Carolina

(6 days ago) People also askWho can a healthy Blue member refer to?Members may self-refer to any behavioral health care provider in the Healthy Blue network. Providers and members have access to a complete listing of mental health and substance use disorder providers that specifies provider groups and practitioners that specialize in children’s mental health services.Healthy Blue Provider Manualprovider.healthybluenc.comHow do I notify healthy Blue provider services?Network hospitals can notify us by calling Healthy Blue Provider Services 24/7 at Our Medical Management staff will verify eligibility and determine coverage. A concurrent review nurse will review and authorize the coverage of emergent admissions based on medical necessity. All clinical documentation must be complete.Healthy Blue Provider Manualprovider.healthybluenc.comHow do I contact healthy Blue North Carolina?For questions on electronic rejections contact your Clearinghouse or Billing Vendor or Availity if you submit directly at 800- AVAILITY (800-282-4548). Your Payer Name is Healthy Blue North Carolina, and the Payer ID is 00602. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID.Healthy Blue Provider Manualprovider.healthybluenc.comWhat is healthy Blue provider services?Calling Healthy Blue Provider Services. Patient panels are increasingly diverse, and needs are becoming more complex. It is important for providers to have the knowledge, resources, and tools to offer culturally competent and linguistically appropriate care. Healthy Blue wants to help, as we all work together to achieve health equity.Healthy Blue Provider Manualprovider.healthybluenc.comFeedbackHealthy Blue of South Carolinahttps://www.healthybluesc.com/providers/resources/Manual, Guides and Forms Healthy Blue of South CarolinaWEBWe promote clinical quality guidelines to providers to support evidence-based care of our members. Please review all guidelines. 2024 Clinical Practice Guidelines. Image. Healthy Blue of South Carolina. Healthy Connections. Call Provider Service. Monday - …

https://www.healthybluesc.com/member-center/member-materials#:~:text=Read%20it%20to%20find%20out%20about%3A%201%20Your,rights%20and%20responsibilities%20as%20a%20Healthy%20Blue%20member.

Category:  Mental health,  Medical Show Health

Medical Policies BlueCross BlueShield of South Carolina

(8 days ago) WEBOur medical policies include evidence-based treatment guidelines. They address common medical situations. You can review our medical policies online any time. Please keep in …

https://www.southcarolinablues.com/web/public/brands/sc/members/manage-your-plan/using-your-plan/understanding-insurance/medical-policies/

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2023 Readiness Review

(5 days ago) WEBSouth Carolina (Healthy Blue) to enroll South Carolina Medicaid beneficiaries as members in • Practice Guidelines (§ 438.236, § 457.1233) • Health Information …

https://www.scdhhs.gov/sites/default/files/documents/SCEQR_Healthy%20Blue%20Readiness%20Review%202023.pdf

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Reimbursement Policy - Healthy Blue Provider

(1 days ago) WEBAmerigroup Partnership Plan, LLC, an independent company, for services to support administration of Healthy Connections. To report fraud, call our confidential Fraud …

https://provider.healthybluesc.com/docs/inline/SCHB_RP_ReimbAdmin_ClaimsSubmission_ReqInfoforProviders.pdf?v=202111102307

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Program Eligibility and Income Limits SCDHHS

(8 days ago) WEBBenefits. Individuals who are eligible will receive all Medicaid covered services. To Apply. Apply Online Or complete the following form(s) and submit it electronically to …

https://www.scdhhs.gov/members/program-eligibility-and-income-limits

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South Carolina Blues - Home

(4 days ago) WEBCheck out Healthy Blue SM! Learn more here. Shop plans now. Enrollment season has ended but if you are eligible for a special enrollment period, you can enroll now.

http://southcarolinablues.com/web/public/sc/

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For Members and Families SCDHHS

(4 days ago) WEBIf you are a member in a managed care health plan and have questions about your EPSDT benefit, please contact your health plan directly: Absolute Total Care. Contacct: 1-866 …

https://www.scdhhs.gov/resources/programs-and-initiatives/epsdt/members-and-families

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Healthy Blue Provider Billing Guide

(1 days ago) WEBMedicaid NCHB-CD-005766-22 Healthy Blue Provider Billing Guide Provider Services: 844-594-5072 https://provider.healthybluenc.com

https://provider.healthybluenc.com/docs/gpp/HBNC_HBTC_HBProvBillingGuide.pdf?v=202303281426

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Manuals BlueCross BlueShield of South Carolina

(4 days ago) WEBBlueCard ® Program Manual – This manual provides you with an overview and describes the advantages of the BlueCard program. It will also help guide you through eligibility …

https://www.southcarolinablues.com/web/public/brands/sc/providers/tools-and-resources/manuals/

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Healthy Blue Provider Manual

(2 days ago) WEBcommittees. Please feel free to call Healthy Blue Provider Services at 844-594-5072 with any suggestions, comments and/or questions. Together, we can make a real difference …

https://provider.healthybluenc.com/docs/gpp/NCNC_CAID_ProviderManual.pdf

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Medical Policies BlueCross BlueShield of South Carolina

(1 days ago) WEBOur medical policies include evidence-based treatment guidelines and address common medical situations. You can review our medical policies online any time. Please keep in …

https://www.southcarolinablues.com/web/public/brands/sc/providers/policies-and-authorizations/medical-policies/

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Full list of Medical Policies and Clinical Guidelines

(9 days ago) WEBMedical Policy. Administrative. ADMIN.00006 Review of Services for Benefit Determinations in the Absence of a Company Applicable Medical Policy or Clinical Utilization …

https://provider.healthybluenc.com/north-carolina-provider/medical-policies-and-clinical-guidelines-full-list

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Medical Policies BlueChoice HealthPlan of South Carolina

(5 days ago) WEBMedical Policies. Medical Policies. Medical guidelines are written to address frequently occurring clinical situations. Medical policies are not medical advice and do not …

https://www.bluechoicesc.com/providers/medical-policies

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Prior Authorization BlueCross BlueShield of South Carolina

(4 days ago) WEBTo request prior authorization, contact Companion Benefits Alternatives (CBA) using one of the below options: Calling 800-868-1032. Forms Resource Center – This online tool …

https://www.southcarolinablues.com/web/public/brands/sc/providers/policies-and-authorizations/prior-authorization/

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Bariatric Surgery - CAM 70147 - South Carolina Blues

(3 days ago) WEBBariatric Procedure Guidelines The choice of procedure in adolescents may also differ from adults, but there is a lack of consensus in guidelines or expert opinion as to the …

https://www.southcarolinablues.com/web/public/brands/medicalpolicy/external-policies/bariatric-surgery/

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SC Democrats announce Senators Cory Booker, Reverend Raphael …

(Just Now) WEBThe South Carolina Democratic Party has announce that U.S. Senator Cory Booker and U.S. Senator Reverend Raphael Warnock will be the special guest speakers …

https://www.abccolumbia.com/2024/05/16/sc-democrats-announce-senators-cory-booker-reverend-raphael-warnock-as-guest-speakers-for-blue-palmetto-dinner/

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