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Blue Cross and Blue Shield of Illinois Provider Manual ...

Blue Cross and Blue Shield of Illinois Provider Manual Blue Cross Community Health PlansSM. (BCCHPSM). 2022. A Division of Health Care ServiceCorporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Table of Contents Overview .. 3. Key Contact 4. Provider Orientation and Training .. 14. Conflicts of Interest .. 23. Membership Information .. 24. Introduction and Guidelines for Benefits Interpretation .. 27. BCCHP Utilization Management Program .. 30. Benefit Preauthorization and Referral 33. Prior Authorization List .. 35. Timeliness of Decisions and Notifications .. 36. BCCHP Mental Health Mobile Crisis Response 37. Member Complaints, Grievances and 43.

Blue Cross Community Health Plans Provider Manual – Updated December 2021 3 Overview The Blue Cross Community Health Plans (BCCHP) is a program developed and administered by Blue Cross and Blue Shield of Illinois (BCBSIL) intended to …

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