Orientation Plus

includes the following Education Modules:

Duration: 3 hours

Fully Funded versus ASO Group (15 minutes)

This module explains the differences between a fully funded and self-funded (ASO) group.

Predeterminations (15 minutes)

This module explains how a predetermination is not a guarantee of payment and how it is used only to establish medical necessity.

Refund and Recoupments (30 minutes)

This module describes the difference between a refund and a recoupment and the timeframes associated with them.

Clear Claim Connection (30 minutes)

This module explains the web-based auditing reference tool that enables Blue Cross and Blue Shield of Texas (BCBSTX) to disclose our claim auditing rules and clinical rationale.

BlueCard (Out-of-State Members) (30 minutes)

This module explains that members of other Blue Cross and Blue Shield plans are able to obtain health care services while traveling or living in another BCBS plan's service area.

Provider Website Tour (1 hour)

Take a tour of the BCBSTX provider website. Find news and updates, claim filing information, medical policy information and provider tools that will assist your office in doing business with BCBSTX.

To register for a scheduled webinar listed below – click on date selection, then complete the registration process.

No education sessions scheduled at this time

 

To request personal one-on-one training on any of the above education modules, send us an email. Please include your name, telephone number and module(s) of interest.