Provider Policies

Below are links to our compensation, administrative, and medical policies. If you have any questions about these policies, please call us at 800-447-7828, Extension 6100 or email HCS-X6100@bcbsmt.com.

Operational information is in the Provider Manuals' section.

Questions? Contact Us.

Medical Policy

The purpose of the Blue Cross and Blue Shield of Montana (BCBSMT) Medical Policy is to guide coverage decisions and is not intended to influence treatment decisions.

BCBSMT recognizes the rapid changes of technological development and welcomes comments on all medical policies. Email us at MedicalPolicy@bcbstx.com.

Medical Policy for Out-of-Area Members

Use our Provider Router to access Medical Policy information for out-of-area members. This tool will route you directly to the other Plan's website to view Medical Policy guidelines for an out-of-area member. Click the link below to open the tool and simply enter the member's Alpha Prefix (first three letters of the identification number) located on their Id Card to be routed to the appropriate Plan.

Access the Provider Router.

Compensation Policies

Provider compensation policies have moved to the secure section of our website. Register today or log in with your User ID and Password to review BCBSMT provider compensation policies.

Administrative Policies

Administrative policies are BCBSMT regulations that are not included in provider contracts or medical policy.