| BlueCard® Provider
Manual
The BlueCard Program
BlueCard is a national program that enables members
of a Blue Cross and/or Blue Shield Plan (Blue Plan)
to obtain health care services while traveling or living
in another Blue Plan's service area. The program links
participating physicians, other health care professionals
and facilities with independent Blue Plans across the
country and around the world through a single electronic
network for claims processing and reimbursement.
Advantages to physicians, other health care
professionals and facilities
As a participating physician, other health care professional
or facility of Regence BlueCross BlueShield of Oregon
(Regence BCBSO), you may render services to patients
who are members of other Blue Plans.
The BlueCard Program allows you to conveniently submit
claims for members from other Blue Plans, including
international Blue Plans, directly to Regence BCBSO.
We will be your one point of contact for all of your
claims-related questions.
Advantages to Blue Plan members
The program allows members to access providers and savings--and
receive the same benefits as their Blue Plan--while
traveling or living in our service area.
Claims and products included
BlueCard applies to all inpatient, outpatient and professional
claims.
This includes:
- traditional,
- Preferred Provider Organization (PPO),
- Point-of-Service (POS) and
- Health Maintenance Organization (HMO) products.
Benefits and claims exempt
The following benefits are exempt from BlueCard:
- dental services and
- prescription medications.
In addition, claims for the Federal Employee Program
(FEP) are exempt from the program. (Members who are
part of the FEP will have the letter “R”
in front of their member ID number.)
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