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Provider Communications Administration Manual

Provider Administration ManualRevised June 2018 bluecross blueshield of tennessee Provider Administration Manual i TABLE OF CONTENTS I. INTRODUCTION A. bluecross blueshield of tennessee Statement of Purpose B. Descriptions of Networks C. Individual Product and Plan Options D. Health Insurance Portability and Accountability Act of 1996 (HIPAA) 1. Health Information Privacy Policies and Procedures 2. Protected Health Information-allowable disclosures under HIPAA E. General Information 1. Fraud and Abuse Hotline 2. Interpretation Services 3. Provider Communications 4. Pre-existing Condition II.

BlueCross BlueShield of Tennessee Provider Administration Manual 11 I. INTRODUCTION BlueCross BlueShield of Tennessee, Inc. is an independent licensee of the BlueCross BlueShield Association consisting of some 60 BlueCross and/or BlueShield Plans throughout the United States.

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