Blue KC Network Provider Reference Guide
-
Away From Home Care (AFHC)
-
Behavioral Health & Substance Use
-
Blue KC Basics
- Provider Portal
- Plan Details
- Provider Directory Updates
- Service Area Map for Blue KC Networks
- Member Rights and Responsibilities
- Risk Adjustment Process
- HEDIS®
- Blue Distinction®
- Payment Compliance, Fraud, Waste and Abuse
- Surveillance and Audit Procedures
- Payments to Hospitals
- Negotiation of Agreements
- Abbreviations
- Definitions
-
BlueCard® Program
- Program Overview
- Member Identification
- BlueCard HMO
- International Members
- BlueCard HMO
- International Members
- BlueCard Business
- Verification Options
- Utilization Review
- Prior Authorization Review
- Updating Provider Information
- Claim Filing
- Medical Records
- Appeals
- Claim Inquiries
- Frequently Asked Questions
- Glossary of BlueCard Program Terms
- Show Remaining Articles ( 2 ) Collapse Articles
-
Claims, Billing and Remittance
-
Contact Resource Directory
-
Credentialing and Contracting
-
Federal Employee Program (FEP)
-
Health Services
-
Medicare for Other Blue Plans
-
Specialty Services
Print
Surveillance and Audit Procedures
Was this article helpful?
0 out of 5 stars
| 5 Stars | 0% | |
| 4 Stars | 0% | |
| 3 Stars | 0% | |
| 2 Stars | 0% | |
| 1 Stars | 0% |
5
Table of Contents