Blue Choice PPOSM Facility Manual

This manual was developed to provide you and your staff with administrative guidelines with respect to the Blue Choice PPO Network and associated products.

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

Welcome and Table of Contents 

A. BCBSTX Support Services 

B. Roles and Responsiblities 

C. iEXCHANGE 

D. Precertification 

E. Claims Reports 

F. Filing Claims 

G. Quality Improvement Program 

H. Federal Employee Program 

I. Behavioral Health 

J. Other Information 

K. Hospital Acquired Conditions and Serious Reportable Events