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BlueCross BlueShield of Texas
   
         
     
 


HMO Blue® Texas Physician and Other Professional Provider Manual

Please access the latest version of the HMO Blue® Texas Physician and Other Professional Provider Manual below. This manual was developed to provide you and your staff with administrative guidelines with respect to the HMO Blue Texas Network.

From the table of contents, you can view and print content by section. This manual will be updated, as needed, and these updates will be posted to this site. These files are in a PDF format and require Adobe Reader to open and view them.

If you have trouble opening the files or accessing the information, please contact your local Professional Provider Network office for additional options in receiving the latest version of this manual.

HMO Blue Texas Download Section
File Size (PDF Format)
Cover Page
18 KB
Table of Contents & Welcome 
116 KB
A. Support Services
102 KB
B. Physician & Other Professional
     Provider Roles & Responsibilities
 
298 KB
C. iEXCHANGE
46 KB
D. Referral Notification Program
43 KB
E. Precertification
94 KB
F. Filing Claims
627 KB
G. Quality Improvement Program
196 KB
H. Disease Management Programs & Clinical Practice Guidelines
74 KB
I. Behavioral Health Services
48 KB
J. Other Information
81 KB



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