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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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Important Medicare Advantage Updates
BlueCross BlueShield of Georgia Medicare Advantage Plan & Administrative Updates
Blue Cross and BlueShield of Georgia Medicare Advantage Plans and Benefits
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Medicare Advantage HMO & PPO Provider Guidebook
Medicare Advantage Out of Network Payment Guide
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Precertification, Beneficiary Notices, Part D Coverage Determination, and Corrected Claims Forms
These Frequently Asked Questions are designed to better assist you in your day to day workings with BCBS of GA.
Information and educational materials about Medicare Advantage Risk Adjustment
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Information and educational materials published by the CDC, CMS, NGS and others
Medicare Advantage Reimbursement Policies
ICD-10 Updates webpage for BCBSGa
Information about our ICD-10 implementation, ICD-10 testing with providers and links to implementation resources
Website Precertification Request Training
Dual Eligible Special Needs Plan Provider Training
Quality Improvement Program
BlueCross BlueShield of Georgia’s comment to excellence in quality of care and service
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