Provider Toolkit
Plan basics
- Medicare Plus Blue PPO℠ Manual (PDF) (Updated April 1, 2013)
- Medicare Advantage PPO provider agreement and contract amendments
- Medicare Advantage library
Billing and payment
- Eligibility and coverage
- Billing members
- Submitting claims
- Overpayment
- Reimbursement
- Claims questions and appeals
- If you don't participate with Medicare
Care management
Coverage details
- Medicare Plus Blue PPO Benefit summaries
- Enhanced benefits
- DME/P&O, medical suppliers and pharmacists
- Medicare Advantage PPO lab network
- Specialty care for Medicare Plus Blue PPO
- Drugs, drug plans and vaccines
Evaluation and management
Overview and resources
- Acronym list
- Advance directives flier (PDF)
- Blue Advantage Rewards
- CMS Quality Star Ratings program
- Contact Information
- FAQs
- Fraud, waste and abuse training
- Health e-Blue℠
- ID card
- Medicare Advantage PPO moves pilot groups to new claims processing system (PDF)
- Medicare guidelines
- Medicare resources
- New CMS preventive benefits (PDF)
- Types of products
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