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Accessing Medical Policies

April 24, 2014

We use medical policies and guidelines to make clinical determinations for members’ coverage. These guidelines are accessible to you on our websites, www.SouthCarolinaBlues.com and
www.BlueChoiceSC.com.

To access medical policies:

  1. From the BlueCross homepage, select “Provider” at the top of the page.
    1. Select “Education Center” on the right side of the page.
    2. Under “Medical Policies and Clinical Guidelines” in the center of the page, select “Medical Policies.”
  2. From the BlueChoice® homepage, select “Provider” on the left side of the page.
    1. Select “Resources” on the right side of the page.
    2. Select “Medical Policies” on the right side of the page and then select “Medical Policies” in the center of the page.
  3. This takes you to the Medical Policies Disclaimer page. Read and accept the disclaimer to get to the listing of medical policies.
  4. You can then search topics by alphabet or category as well as search by keywords.If you have questions about medical policies, contact Medical Affairs by choosing “Contact Us” at the top of the screen. Our clinical staff will review your question and contact you.

Medical Policies Contact Us page 

 

 

 

 

 

 

 

 

 

 

 

 

 

Submit specific eligibility, coverage and claims questions through My Insurance ManagerSM.

If you have questions about this bulletin, please contact Provider Education at provider.education@bcbssc.com or by calling 803-264-4730.

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