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Provider Manual

Prior sections of the Administrative Manual are available in the Archive:

Core Manual

Section Change Revision Date 90 Day Notice
Introduction (PDF)   08/2008 11/2008
Addresses and Numbers You’ll Need (PDF)   08/2008 11/2008
Accidental Injuries (PDF)   08/2008 11/2008
Appeals (PDF)   08/2008 11/2008
Billing Information (PDF) Added Regence ActivateSM payment vouchers. 08/2008 11/2008
BlueCard® (PDF)   08/2008 11/2008
Coordination of Benefits (PDF)   08/2008 11/2008
Corrective Coding Edit Information (PDF)   08/2008 11/2008
Credentialing (PDF)   08/2008 11/2008
Forms (PDF)   08/2008 11/2008
Fraud and Abuse (PDF)   08/2008 11/2008
Medical Policy (PDF)   08/2008 11/2008
Medicare Beneficiaries (PDF)   08/2008 11/2008
Member Cards (PDF) Added ActivateSM member cards and information 08/2008 11/2008
Message Codes (PDF)   08/2008 11/2008
Regence Online Services for
Providers (PDF) 		  08/2008 11/2008
RegenceRx Provider Basics (PDF)   08/2008 11/2008
Regence BlueShield’s Plan Affiliates and Subsidiaries (PDF)   08/2008 11/2008
Quality Improvement (PDF)   08/2008 11/2008
Care Management (PDF) Minor formatting changes; name change from Utilization Management to Care Management 08/2008 11/2008
AdviCare (PDF)   08/2008 11/2008
Boeing (PDF)   08/2008 11/2008
Federal Employee Program (FEP) (PDF)   08/2008 11/2008
Healthy Options / State Children's Health Insurance Plan (SCHIP) (PDF)   08/2008 11/2008
InnovaSM, Engage® and ActivateSM(PDF) Added Activate information 08/2008 11/2008
Regence MedAdvantage (PDF) Added new section 08/2008 11/2008
Selections (PDF)   08/2008 11/2008


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Behavioral Health Manual

Section Change Revision Date 90 Day Notice
Mental Health Treatment (PDF)   08/2008 11/2008
Chemical Dependency Treatment (PDF)   08/2008 11/2008
Mental Health and Chemical Dependency Clinical Practice Guideline (PDF)      

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Professional Manual

Section Change Revision Date 90 Day Notice
Alternative Care (PDF)   08/2008 11/2008
Home Medical Equipment & Prosthetics (PDF)   08/2008 11/2008
Laboratory Services (PDF)   08/2008 11/2008
Obstetrical Care (PDF)   08/2008 11/2008
Practitioner Guidelines (PDF)   08/2008 11/2008
Radiological Services (PDF)   08/2008 11/2008
Therapy Guidelines (PDF)   08/2008 11/2008
Vision (PDF)   08/2008 11/2008

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Facility Manual

Section Change Revision Date 90 Day Notice
Ambulance (PDF)   08/2008 11/2008
Freestanding Ambulatory Surgical Centers (PDF)   08/2008 11/2008
Home Health (PDF)   08/2008 11/2008
Home Infusion (PDF)   08/2008 11/2008
Hospice (PDF)   08/2008 11/2008
Home Medical Equipment And Prosthetic Devices (PDF)   08/2008 11/2008
Hospital Guidelines (PDF)   08/2008 11/2008
Skilled Nursing (PDF)   08/2008 11/2008

 

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2008 Regence BlueShield. All rights reserved. Regence BlueShield serves much of the state of Washington and is an Independent Licensee of the Blue Cross and Blue Shield Association.
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