Reimbursement for services and supplies provided to your BlueChoices patients will follow the terms of your existing Participating, PPP and/or Access agreements, depending on the provider network used by your patient's benefit plan. For example: If your patient is on a BluePreferred product that uses the Participating network and you are a Participating provider, your reimbursement will be calculated using the conversion factor and relative value units (RVUs) established in your Participating agreement and any subsequent amendments.

Medical policies, reimbursement policies and preauthorization requirements currently in effect will be followed for BlueChoices products.

Claims for all BlueChoices members will be reported on our standard Claims Administration System (CAS) Provider Remittance Statement (or voucher), which will continue to be produced every Friday. This voucher will be paginated separately to report claims for BlueChoices members using the PAR, PPP and Access provider networks.