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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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Medicare Advantage

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Important Medicare Advantage Updates
BlueCross BlueShield of Georgia Medicare Advantage Plan & Administrative Updates  
 
BlueCross BlueShield of Georgia Medicare Advantage Plans and Benefits 
 
Medicare Advantage Provider Guides  
 
 
Provider Forms
Precertification, Beneficiary Notices, Part D Coverage Determination, and Corrected Claims Forms 
 
Provider FAQs
These Frequently Asked Questions are designed to better assist you in your day to day workings with BCBS of GA. 
 
Risk Adjustment
Information and educational materials about Medicare Advantage Risk Adjustment 
 
Clinician Tools and Resources
Information and educational materials published by the CDC, CMS, NGS and others 
 
ICD-10 Updates webpage for BCBSGa
Information about our ICD-10 implementation, ICD-10 testing with providers and links to implementation resources  
 
Medicare Advantage Healthy Checklist
Preventive care is one of the most important things you can do for your health. Early detection is often the key to successful treatment. Medicare Advantage Members can download and print the Healthy Checklist and take it to the doctor to help track preventive care screenings. 
 
 
 
Quality Improvement Program.
BlueCross BlueShield of Georgia’s comment to excellence in quality of care and service 
 
© 2014 BlueCross BlueShield of Georgia
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.