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Choose a state to see how Blue Cross Blue Shield is working in your community. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. 107. M. members covered. Information current and approximate as of December 31, 2018. $ 382. M+.

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  • . Blue Cross and Blue Shield of Texas (BCBSTX) has contracted with eviCore healthcare (eviCore)* to provide certain utilization management prior authorization services for our government programs. eviCore is an independent company that provides specialty medical benefits management for BCBSTX. Services requiring prior authorization through .... Allowed amount Amount your hea lth care provider charged Blue Cross discount Allowed amount Summary Date : 01/25/18 Statement Period: 12/29/17 - 01/25/18 Member Information Service for: John Doe Member ID number: MTN123456789 Group name: GROUPNAME12345 Individual deductible: Family deductible: $2,000 SUMMARY OF HEALTH PLAN PAYMENTS FOR JOHN DOE. To review BCBSIL’s Schedule of Maximum Allowances for PPO and Blue Choice PPO providers, you must submit a Fee Schedule Request Form to BCBSIL via fax, along with a signed Confidentiality Agreement. Significant changes to the physician fee schedules are included in the Blue Review provider newsletter. Specific code changes and annual and. 2021 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option Section 5. Benefits Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals Durable Medical Equipment (DME).

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    The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. To access your member services, please visit your BCBS company. Find my BCBS company. ... Maximum dollar amounts set by MCOs (managed care organizations) that limit the total amount the plan must pay for all healthcare services provided to a.