Skip to main content

New Digital Provider and Facility Reference Manual

Date:
June 26, 2020

To: All Providers

Our Provider and Facility Reference Manual has been upgraded and is now available in a digital format. The new manual offers streamlined accessibility and functionality to provide a better, more interactive user experience.

The new format includes all the same information you need, including:

  • Our policies and procedures
  • How to file claims
  • Services we offer providers
  • Reimbursement
  • Information about our health care products
  • Government and regulatory mandates

Easy Search and Navigation

A drop-down menu will allow you to easily locate the manual section you need. Once you’ve selected a section, you can then navigate by subsection to access more specific information. You can also search the manual by entering key words into the search bar.

Up-to-Date Information

We will be making frequent updates, ensuring that information found in the manual is more current.

Print and Share

You will now be able to print individual sections or send them via email.

The manual is now posted on the provider website homepage in the same location as before, under “Quick Links” in the bottom right-hand corner. Click the link below to access and explore.

View Provider Manual

Recent Articles

  • 2021 Updates: Products and Benefits
    BlueShield continues to review and adjust our insurance products to meet the needs of our membership and market demands. Here we highlight new products and benefits for your BlueShield Medicare Advantage and Commercial patients, beginning January 1, 2021.
  • Updated Credentialing Requirements for LCSWs and LMHCs Beginning January 1
    We are updating our credentialing policies for Licensed Clinical Social Workers (LCSW) and Licensed Mental Health Counselors (LMHC) beginning January 1, 2021. LCSWs will no longer require the Licensed Clinical Social Worker “R” Privilege to be credentialed with BlueShield. Here you can learn more and find enrollment information.
  • Medical Record Retrievals
    We do our best to minimize the disruption of medical record requests to your practice as we work to meet continued documentation requirements. Whenever possible, we like to streamline our outreach to help manage multiple requests.
  • HIV/AIDS Awareness Month - End the Epidemic
    December marks national HIV/AIDS Awareness Month. New York state’s End the Epidemic, a three-point plan, seeks to reduce new HIV infections annually from 3,000 to 750 and the rate at which persons diagnosed with HIV progress to AIDS by 50%. In this article, we highlight plan strategies along with links to additional resources.
  • Medical Protocol Updates Available Online
    We recently reviewed 54 medical protocols. These will be posted online on or before January 1, 2021 and will have an effective date of February 1, 2021, unless otherwise noted.

Working with Us

Additional Resources

We want to hear from you! Have a topic request for the next Blue Bulletin? Email us

Stay in Touch! Sign up to receive emails for provider news and information

Subscribe to Provider News