Midwives Advantage

Subtitle

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Link to NDC Codes for Oxygen suppliers


ALL

DIAGNOSTIC CODING IN OBSTETRICS AND GYNECOLOGY (ACOG)

DOCUMENTATION REQUIREMENTS FOR PROFESSIONAL FEES

FEE SCHEDULE FOR OFFICE VISITS

ANTEPARTUM SERVICES, DELIVERY, VBAC FEE SCHEDULE

RESUSCITATION SERVICES, PEDIATRIC CRITICAL CARE TRANSPORT FEE SCHEDULE


Billing Guides

Newborn and Pediatric Billing Guide

Global Surgery Coding Guide

Critical Care Codes

Critical Care Requirements

Observation For False Labor

United Healthcare Evaluation and Management Codes (used for labor observation)


CHEAT SHEETS 

Consultations, New Patient and Admission requirements for documentation



Alabama

BCBS AL Obstetrics Coding and Documentation Reference Guide


Georgia

BCBS GA Provider Manual


Illinois

The Health Care Bureau Can Help You With:

  • Billing disputes
  • Denial of coverage
  • Denial of treatment as not medically necessary
  • Partial payments on claims
  • Unfair insurance practices
  • False or misleading health care advertising
  • Difficulty navigating the health insurance appeals process

The Attorney General’s Health Care Bureau was created to assist consumers with difficulties they encounter in obtaining health care services and insurance benefits through mediation, investigation and enforcement actions. The bureau also advocates for laws and policies that enhance the health care rights of consumers and educates consumers about those rights.

The Health Care Bureau’s toll-free hotline, 1-877-305-5145 (TTY 1-800-964-3013), operates to assist consumers with problems related to health care. Health Care Bureau mediators deal directly with the consumer to collect information regarding the complaint. The mediators then contact the health care provider or insurance company in an attempt to settle the dispute, in consultation with attorneys and a physician in the bureau.



Louisiana 

BCBS

BCBS LA - Federal Employees BCBS LA

BCBS LA - State Employee


North Carolina

BCBS COB (Coordination of Benefits)

BCBS NC Provider Attestation for E-visit

BCBS NC  Authorization form for appeals on the member's behalf.



South Carolina

BCBS SC - Authorized Rep Appeal Designation Form

BCBS SC - Authorization to Disclose HIPAA

BCBS SC - Pregnancy Notification Form

BCBS SC - Screening tool Pregnancy

BCBS SC - COB Federal Employee


Submit a Pre-certification Online 

My Insurance ManagerSM features an automated authorization, precertification and referrals tool that allows you to request authorizations for many patient services online. With this function, called "Authorization/Precertification/Referral," you can submit requests for BlueCross and State Health Plan.

Go to My Insurance Manager to begin using this tool. Log in and select Authorization/Precertification/Referral to begin. If you are a new user, first select Create a New Profile to create your user account. If you are not registered yet, read more about creating a profile.

You can request an initial precertification or authorization in My Insurance Manager or check the status of existing requests. You can also use our STATchatSM feature to speak directly with a Health Care Services representative over the Internet if you wish to provide clinical information, request an appeal or extension, or update information on an existing authorization.


Receive Immediate Approval for the Majority of Requests

For certain services and procedures, you can receive immediate approval in most cases. There will be no need to contact us or submit additional information unless the member remains hospitalized beyond the approved days.

Our response to your request is not a guarantee of payment or reimbursement, or a guarantee of the member's eligibility for coverage. We will review all claims to verify that:

  1. The preauthorization request and the claim information you submit are consistent.
  2. The patient is eligible for benefits at the time of treatment.
  3. The patient's health plan covers the services he or she receives.
  4. The patient satisfied all health plan requirements (e.g., limitations, waiting periods, copayments, deductibles, network eligibility, etc.).



Virginia

BCBS VA Cob for FEP

BCBS VA COB for PPO 


INSURANCE


Aetna

Coordination of Benefits Form


Understanding Coordination of Benefits

Patient Responsibility: Deductible, Coinsurance and other