508C, Important Notice Due To Covid-19 Emergency …

provider Administration ManualRevised March 2018 BlueCare Tennessee provider Administration Manual i provider ADMINISTRATION MANUAL Table of Contents I. INTRODUCTION A. BlueCross BlueShield of Tennessee Statement of Purpose B. Description of Health Plans and Health Plan Sub-Programs 1. BlueCare Tennessee operates two TennCare Program Health Plans. BlueCare TennCareSelect 2. Enhanced Services Programs: CHOICES Long-Term Services and Supports (LTSS) (currently available from TennCareSelect only) Employment and Community First (ECF) CHOICES SelectCommunity (TennCareSelect only) C. General Information 1. Interpretation Services 2. Health Literacy and Cultural Competency provider Toolkit 3.

D. Appeals Quick Reference Guide E. Important Contact Information . II. HOW TO IDENTIFY A BLUECARE TENNESSEE MEMBER ... 1. Filing Electronic Claims (Required Method) 2. Filing Paper Claims ... V. BILLING AND REIMBURSEMENT (cont’d) Q. Provider Overpayments 1. Automatic Overpayment Recoveries 2. Posting Negative Adjustments

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  Guide, Reference, Reimbursement, Provider, Claim, Quick, Quick reference guide, And reimbursement

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