Ancillary
Specialty topics and courses dedicated to our Ancillary healthcare delivery partners.
Featured Course
Find all you need to know about set billing guidelines for Durable Medical Equipment in our “BCBSA Ancillary Billing for Durable/Home Medical Equipment (DME)” course. Learn about the guidelines set by BlueCross BlueShield Association (BCBSA), claim submission scenarios, and claim and payment guidelines.
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Self-Paced Module | 15 minutes | Air Ambulance Providers
An overview of information Air Ambulance transport services need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Claim, Inquiries, and Appeal Information
Self-Paced Module | 15 minutes | ASC Providers
An overview of information Ambulatory Surgical Centers (ASCs) need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Care Management
- Claim, Inquiries, and Appeal Information
Self-Paced Module | 15 minutes | Behavioral Health Providers
An overview of information behavioral health/substance use disorder (BSD) practitioners and facilities need to work with CareFirst.
- Contract Methodology
- Authorizations
- Care Coordination
- Claim, Inquiries, and Appeal Information
Self-Paced Module | 15 minutes | Dialysis Providers
An overview of information Dialysis facilities need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Claim, Inquiries, and Appeal Information
BCBSA Ancillary Billing for Durable/Home Medical Equipment (DME)
Self-paced Module | 10 minutes | DME Providers
Learn about the set billing guidelines for DME providers.
- Background of the BlueCross BlueShield Association (BCBSA) implemented guidelines
- Claim submission guidelines and scenarios
- Filing electronic and paper claims
- Claim and payment guidelines
Self-Paced Module | 15 minutes | DME Providers
An overview of information DME suppliers need to work with CareFirst.
- Contract Methodology
- DME inclusions and exclusions
- Policy guidelines
- Authorizations
- Case Management
- Claim, Inquiries, and Appeal Information
Self-Paced Module | 15 minutes | Home Health Providers
An overview of information home health agencies need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Care Management
- Claim, Inquiries, and Appeal Information
Self-Paced Module | 15 minutes | Home Infusion Therapy Providers
An overview of information Home Infusion Therapy (HIT) providers need to work with CareFirst.
- Contract Methodology
- Drug Specific Guidance
- Requests for Therapies
- Authorizations
- Case Management
- Claim, Inquiries, and Appeal Information
Self-Paced Module | 10 minutes | Hospice Providers
An overview of information hospice agencies need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Claim, Inquiries, and Appeal Information
BCBSA Ancillary Billing for Independent Clinical Laboratories
Self-paced Module | 10 minutes | Independent Clinical Laboratories
Learn about the set billing guidelines for Independent Clinical Laboratories.
- Background of the BlueCross BlueShield Association (BCBSA) implemented guidelines
- Claim submission guidelines and scenarios
- Filing electronic and paper claims
- Claim and payment guidelines
Skilled Nursing Facilities (SNF)
Self-Paced Module | 15 minutes | SNF Providers
An overview of information skilled nursing facilities need to work with CareFirst.
- Contract Methodology
- Federal Employee Programs (FEP)
- Referral Process
- High-cost drug reimbursement
- Authorizations
- Claim, Inquiries, and Appeal Information
BCBSA Ancillary Billing for Specialty Pharmacy
Self-paced Module | 10 minutes | Specialty Pharmacy Providers
Learn about the set claims filing guidelines for specialty pharmacy providers.
- Background of the BlueCross BlueShield Association (BCBSA) implemented guidelines
- Claim submission guidelines and scenarios
- Filing electronic and paper claims
- Claim and payment guidelines