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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

View requirements for Local Plan and BlueCard Out-of-Area members.

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BlueCard Library

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The BlueCard Library is your quick access to the essential BlueCard basics for every provider’s office. Since you may render services to patients from other Blue Cross and/or Blue Shield Plans, knowing about out-of-state policies and procedures may eliminate duplicate or unnecessary tasks.  
Are you ready to discover a wealth of information about BlueCard Claims, Eligibility, Medicare, ID Cards, Key Contacts and other information?  
General Resources  
FAQs
Glossary of Terms
Quick Tips for Eligibility Information
 
Identifying Members  
BlueCard Members
International Members
Consumer Directed Healthcare Plans (CDHP) and Healthcare Debit Cards
 
BlueCard Claims Resources  
Quick Tips for Claims Filing and Payment
Claims Flow through BlueCard
Coordination of Benefits (COB)
Border County Provider Claims
Claims Adjustments and Appeals
 
BlueCard Medicare Resources  
Quick Tips for Medicare Claims Filing
Traditional Medicare-Related Claims
Medicare Advantage Overview
Medicare Crossover Consolidation
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.