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TABLE OF CONTENTS - Michigan Health Insurance Plans

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 .. 18 B. Reporting blood lead tests .. 18 C. Other applicable guidelines.

philosophy and health-related issues in various ways: Through miblue cross omplete.com, members can access valuable health information. My Blue Health newsletter, sent three times a year, contains information about benefits, advice on healthy self-care practices and the latest news about Blue Cross Complete programs. B. How to use this manual

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