Blue Cross and Blue Shield of Montana

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BCBSMT Provider Manual

The BCBSMT Provider Manual is updated quarterly and explains how to submit claims, an explanation of the payment process, and a wealth of other information. If you have any questions or did not find the information for which you were searching, contact a Provider Network Representative at:

Phone: 1-800-447-7828, extension 3600

email: HCS-X3600@bcbsmt.com

The BCBSMT Provider Manual - Updated August 2008

Download the Entire BCBSMT Provider Manual PDF 13,672kb


Table of Contents PDF 27kb

Chapter 1: Contact and Administrative Information PDF 42kb	Chapter 2: Online Services PDF 41kb
Chapter 3: Benefit Management PDF 33kb	Chapter 4: BCBSMT Medical Claims PDF 307kb
Chapter 5: Administrative Programs PDF 1,464kb	Chapter 6: BlueCard® Out-of-State Claims PDF 165kb Montana CHIP members are eligible for the BlueCard program! Submit ALL out-of-state Blue Cross Blue Shield claims to BCSBMT.
Chapter 7: Pharmacy Benefit Program PDF 31kb	Chapter 8: Managed Care PDF 97kb
Chapter 9: BCBSMT Dental Claims PDF 32kb	Chapter 10: Payment and Appeals Process PDF 114kb
Chapter 11: Coordination of Benefits PDF 30kb	Chapter 12: Hospital Claims PDF 36kb

Appendix A : Provider Forms PDF 4,940kb

BCBSMT CAI Manual

The BCBSMT Claims Accuracy Initiative (CAI) Provider Manual PDF 134kb lists services and code-to-code relationships affected by clinically oriented claims processing software. Also included are Assistant Surgeon Codes Allowed. PDF 21kb

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