Provider Secured Services

Site map

• Medicare Plus Blue PPO^SM
  • Plan basics
    • Medicare Plus Blue PPO manual (PDF)
    • MA PPO contract documents
    • Medicare Advantage library
  • Coverage details
    • Benefit summaries
    • Enhanced benefits
    • DME coverage
    • Medicare Advantage PPO lab network
    • Specialty care
    • Drugs, drug plans and vaccines
  • Billing and payment
    • Eligibility and coverage
    • Billing members
    • Submitting claims
    • Overpayment
    • Reimbursement
    • Claims questions and appeals
    • If you don't participate with Medicare
  • Evaluation and management
    • Hospice care
  • Overview and resources
    • Contact information
    • ID card
    • FAQs
    • CMS Quality Star Ratings program
    • Health e-Blue^SM
    • Healthy Advantage Rewards
    • Fraud, waste and abuse training
    • Medicare guidelines
    • Medicare resources
    • Types of products
    • Glossary
    • Site map
  • Care management
    • Prior notification and utilization management
    • Care management

Plan basics

• Medicare Plus Blue PPO manual (PDF)
• MA PPO contract documents
• Medicare Advantage library

Coverage details

• Benefit summaries
• Enhanced benefits
• DME coverage
• Medicare Advantage PPO lab network
• Specialty care
• Drugs, drug plans and vaccines

Billing & payment

• Eligibility and coverage
• Billing members
• Submitting claims
• Overpayment
• Reimbursement
• Claims questions and appeals
• If you don't participate with Medicare

Evaluation and management

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• Hospice care

Overview & resources

• Other Blue plans (PDF)
• Contact information
• ID card
• FAQs
• CMS Quality Star Ratings program
• Health e-Blue^SM
• Healthy Advantage Rewards
• Fraud, waste and abuse training
• Medicare guidelines
• Medicare resources
• Types of products
• Glossary
• Site map

Evaluation and management

• Hospice care

Care management

• Prior notification and utilization management
• Care management