Transcription of TABLE OF CONTENTS - Blue Cross Blue Shield of Michigan
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TABLE OF CONTENTS - Blue Cross Blue Shield of Michigan
1 ii TABLE OF CONTENTS Section 1: Introduction .. 1 A. Overview: blue Cross Complete .. 1 B. How to use this manual .. 2 C. Other electronic resources for providers .. 3 D. Provider communications .. 4 E. Assistance in working with blue Cross Complete .. 5 Section 2: System of Managed Care .. 6 A. blue Cross Complete provider network .. 6 B. Role/responsibilities of practitioners .. 9 C. General responsibilities of all contracted providers .. 11 D. Responsibilities of hospital/ancillary providers .. 13 E. Provider termination .. 14 F. blue Cross Complete s commitment to providers .. 15 G. Obligations of recipients of federal funds .. 16 H. Electronic health records .. 17 Section 3: Clinical Practice and Preventive Care Guidelines .. 18 A. About the guidelines.
standards are adhered to concerning the release of member or provider records and information. Blue Cross Complete employees may not discuss these matters with anyone outside the organization, except as may be required in the normal course of business, with appropriate authorization, or by law. Blue Cross Complete educates members
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