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Disclosure Notices
Code Auditing & Modifier 59 Exempt Auditing
Quarterly Drug & Home Infusion Drug Fee Schedule Updates effective 6/1/10 have been posted under Reimbursement Schedules as of 3/1/10
Change to HMO Blue Texas Oupatient Clinical Reference Lab Services Effective June 1, 2010
Evidence Based Reimbursement
Fee Schedule Update



Medical Policies
Medical Policy Request Form
 
Manuals
BlueChoice Facility
BlueChoice Physician & Other Professional Provider
HMO Blue Texas Physician & Other Professional Provider
Recoupments/Refunds
Recoupment Process
BlueChoice/BlueChoice Solutions
HMO Blue Texas
Refund Policy
BlueChoice/BlueChoice Solutions
HMO Blue Texas
Voluntary Refund Form(Interactive PDF)


Reimbursement Schedules & Related Information
Professional
Professional Schedules
Schedule Request
Compound Drugs
Compound Drug Schedule
Hospital/Ambul. Surg Ctr./Endoscopy Ctr.
Hospital Schedules
Ambulatory Surg Ctr./Endoscopy Ctr. Schedules
Reference Material
Ancillary
Durable Medical Equipment
Home Infusion Therapy Drug Schedule
Imaging/Radiation Therapy Centers
Independent Lab/Sleep Lab
Prosthetics & Orthotics

Bundling Information
Claim Adjudication
Code Editing Summary
Single Edit Request Form
All Product News
Anesthesia
Payment & Billing Update
Time & Points Eligible List
Assistant at Surgery Logic
Multiple Surgery - Prof.
Modifiers - Prof. Claims
Pass-Through Billing
Significant Edits
HMO Blue Texas
Outpatient Clinical Reference Lab Services
eff. 06/01/10
eff. 11/01/09 - 05/31/10
eff. 12/01/08 - 10/31/09
eff. 01/01/08 - 11/30/08
eff. 03/01/07 - 12/31/07
eff. 10/01/06 - 02/28/07
eff. 06/01/06 - 09/30/06
eff. 02/01/06 - 05/31/06
eff. 10/01/05 - 01/31/06
eff. 07/01/04 - 09/30/05
Precertification/Notification/Referral
Requirements Lists
HMO Blue Texas
BlueChoice

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