Resources. We continually update as well as develop educational documents to assist our network providers with their Blue Cross needs. Manuals. Speed Guides. Tidbits. Workshop and Webinar Presentations. Forms. New/Revised Medical Policies. New/Revised Lab Reimbursement Policies.Best of all, it's available at no extra cost to you. How to enroll? Our nurses are here to help. Call 1-800-363-9159. Press 1. Click the button to connect with a nurse during your high-risk pregnancy, Contact a nurse. Download the Brochure.Blue Advantage offers Medicare coverage, prescription drug coverage, and extra benefits at no additional cost. Find a plan that suits your needs and access a large network of doctors and pharmacies in Louisiana.This may include login delays, difficulty registering a new account, or not being able to view your member information. You can visit our Help Center to find answers to commonly asked questions or call Customer Service at 1-800-495-2583, 8 a.m.-8 p.m., Monday-Friday. We apologize for any inconvenience this may cause.We have made it easy for our members to find a provider! Click on the Find a Doctor link at the top of any page on bcbsla.com. Choose a directory from the Directories column under the Find a Doctor dropdown menu at the top of the page. 3. Select your network and enter provider name. . 4. View the list of providers returned in the search results.Save Money By Staying in Your Network. Not all Blue Cross plans cover the same doctors, hospitals, clinics and labs. Before you get medical care, check to make sure you are going somewhere that is in your plan’s network. You will pay less out of pocket when you stay in your network, and you can avoid getting an unexpected bill.FEP Customer Service (800) 272-3029. Go to FEP Website. GROUP MEMBERS. POLICIES AND RIGHTS. Lab Reimbursement Policies: Blue Cross and HMO Louisiana. Medical Policies: Blue Cross and HMO Louisiana. Medical Policies:Page 1 of 2 Version 1.0 - 2018-12 Phone: Fax: Date: S LOUISIANA UNIFORM PRESCRIPTION DRUG PRIOR AUTHORIZATION FORM SECTION I — SUBMISSION ECTION II ― PRESCRIBER INFORMATION Last Name, First Name MI: NPI# or Plan Provider #: Specialty: Call. We have friendly advisors who can help you choose the right plan. 1-800-821-2758. I agree to only access the portal when authorized for enrollment, billing, and claims administration. I understand that any misuse of such information is strictly prohibited and may violate these laws. I also agree to protect my logon ID and password and to change my password if it becomes compromised. Blue Cross and Blue Shield of Louisiana is ...BCBSLA is an Equal Opportunity and Affirmative Action Employer and prohibits discrimination and harassment of any kind. It is the policy of BCBSLA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual ...6 2024 Over-the-Counter (OTC) Benefit Catalog Item # 953 $8.00 Gas-X® Softgels, Extra Strength 125mg 20 count Item # 954 $17.50 Gas-X® Softgels, Max Strength 250mg 30 count Item # 303 $9.00 Glycerin Suppository, Adult 25 count Item # 1274 $12.00 Fleet® Glycerin Suppository, Adult 50 count Item # 955 $17.00 Imodium® A-D Anti-Diarrheal …Blue Connect** is a select network plan for eligible employers who want to offer their employees a lower-priced plan option with high-quality, coordinated care. Members have access to Ochsner Health Network (OHN) and other participating providers. Plan options include POS, HSA-eligible***, qualified high-deductible health plans, and an All ...A primary care doctor is a general practice, family medicine, internal medicine or geriatrician for adults, or a pediatrician for children. This should be the doctor you see for most of your healthcare, who can help you not only when you are sick or get hurt, but with bigger issues like a long-term health condition.BCBSLA will join Elevance Health's affiliated Anthem Blue Cross Blue Shield family of brands. This acquisition will unite two organizations deeply rooted in the communities they serve and aligned in a mission to improve whole health. Together they will continue to prioritize what is best for Louisiana's members and customers by improving ... iLinkBlue User Guide. Save this page to your browser favorites to easily access iLinkBlue going forward. For login/access issues call (800) 716-2299 option 5 or email [email protected]. For portal assistance call (800) 716-2299 option 3 or email [email protected]. Save up to 20% Off Garmin Devices. 40% Off Non-GMO Supplements. 20% Off Pain Relieving Heat & Ice Therapy. Save up to $2,000 on Closing Costs. Save 12% on Healthy Cajun Spices and Seasonings. Up to 20% off Hyperice Innovative Massage Devices. Free Hearing Screening and Set Discounted Prices on Hearing Aids.Mail to: Blue Cross and Blue Shield of LA – Group Payments. P.O. Box 650007. Dallas, TX 75265-000. Make checks payable to Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Inc., or Southern National Life Insurance Company, Inc. In Person: Pay by check, money order or cashier's check in person at any district office on routine business …call Medicaid's Customer Service Center at 1-888-342-6207. Assistance is available Monday through Friday, 8 a.m. - 4:30 p.m. Get in-person help at a regional Medicaid office. For the nearest office, visit ldh.la.gov/medicaidoffices. For the first time since 2020, the State of Louisiana is completing Medicaid redeterminations.Email: [email protected] If you need help filing a grievance, our Section 1557 Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available atBlue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Y0132_24619MKLA_M. Get care 24 hours a day, 7 days a week, no appointment needed on your computer, tablet or smartphone.Ochsner Clinic Foundation. Slidell Memorial Hospital. Southern Regional Medical Corporation. Terrebonne General Health System. POLICIES AND RIGHTS. Lab Reimbursement Policies: Blue Cross and HMO Louisiana. Medical Policies: Blue Cross and HMO Louisiana.iLinkBlue User Guide. Save this page to your browser favorites to easily access iLinkBlue going forward. For login/access issues call (800) 716-2299 option 5 or email [email protected]. For portal assistance call (800) 716-2299 option 3 or email [email protected] is not responsible for the accuracy, content, views or privacy policies of that website. Any information that you provide to the third party will be subject to the terms of that website including, but not limited to, those related to confidentiality, data privacy and security. You should contact the external site if you have questions ...Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. We offer health insurance including medical, dental, Medicare Advantage and prescription drug coverage to individuals, families and employers.Blue Connect (2023) Blue Connect* is a select-network, patient-centered plan. This means local health care providers work as a team led by a primary care doctor. Greater New Orleans/Northshore: Jefferson, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist and St. Tammany parishes. Lafayette/Acadiana:Current Password. Log In. Forgot/Reset Password Need help logging in? iLinkBlue User Guide. Do not save this page to your browser favorites. Click here to be redirected to the page you can save in your browser favorites for iLinkBlue. For login/access issues call (800) 716-2299 option 5 or email [email protected] access to Blue365, an exclusive program for our members that offers discounts on health services—365 days a year. Fitness memberships (in-person and virtual) and workout gear. Wearable devices. Meal delivery and nutrition deals. Eye care. Athletic footwear. Hearing aids. Start Saving.FEP Customer Service (800) 272-3029. Go to FEP Website. GROUP MEMBERS. POLICIES AND RIGHTS. Lab Reimbursement Policies: Blue Cross and HMO Louisiana. Medical Policies: Blue Cross and HMO Louisiana. Medical Policies:Our Mission. At Blue Cross and Blue Shield of Louisiana, our mission is to improve the health and lives of Louisianians. Blue Cross is fully aware of the increasingly urgent national issues regarding the affordability of healthcare, consumer health advocacy, and the quality of health services given. We're actively involved in each of these ...A primary care doctor is a general practice, family medicine, internal medicine or geriatrician for adults, or a pediatrician for children. This should be the doctor you see for most of your healthcare, who can help you not only when you are sick or get hurt, but with bigger issues like a long-term health condition.Current Password. Log In. Forgot/Reset Password Need help logging in? iLinkBlue User Guide. Do not save this page to your browser favorites. Click here to be redirected to the page you can save in your browser favorites for iLinkBlue. For login/access issues call (800) 716-2299 option 5 or email [email protected]. A primary care doctor is a general practice, family medicine, internal medicine or geriatrician for adults, or a pediatrician for children. This should be the doctor you see for most of your healthcare, who can help you not only when you are sick or get hurt, but with bigger issues like a long-term health condition. Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Y0132_22-425_MKLA. We offer health insurance including medical, dental, Medicare Advantage and prescription drug coverage to individuals, families and employers. We will be happy to help you. Call Care Management at: 1-800-317-2299. 04HQ3325 R11/21 Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Request for Benefits for Continuity of Care. Shreveport. Phone. 318-795-4911 (Individual) 318-795-0573 (Group) Address. 411 Ashley Ridge Blvd. Shreveport, LA 71106. As a Louisiana's largest health insurance company, Blue Cross and Blue Shield of Louisiana has nine regional offices. Blue Advantage from Blue Cross and Blue Shield of Louisiana HMO is an HMO plan with a Medicare contract. Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Y0132_22-425_MKLA. We offer health insurance including medical, dental ... BCBSLA is an Equal Opportunity and Affirmative Action Employer and prohibits discrimination and harassment of any kind. It is the policy of BCBSLA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual ...Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Y0132_24619MKLA_M. Get care 24 hours a day, 7 days a week, no appointment needed on your computer, tablet or smartphone.Nominate them for The Angel Award. In recognition of the program's 30th anniversary, past honorees will choose nine incredible individuals to be celebrated. The Blue Cross Foundation will also make a $30,000 grant to the nonprofit of each honoree's choice. The deadline to nominate an Angel is April 5, 2024. Nominate an Angel.www.bcbsla.orgLogin - iLinkBlue | Blue Cross Blue Shield of Louisiana Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Y0132_22-425_MKLA. We offer health insurance including medical, dental, Medicare Advantage and prescription drug coverage to individuals, families and employers. BlueCare is powered by AmWell, a vendor that provides the BlueCare telehealth platform for Blue Cross and Blue Shield of Louisiana and its subsidiaries. If you need assistance, please contact AmWell by email or telephone, 24/7. Customer support email: [email protected]. Customer support line: 855-269-3554.Phone: 866-508-7145. Customer Services. For full BA online provider services, such as claim status checks, member eligibility, benefit verification or confirmation of prior authorization, use our Blue Advantage Provider Portal. Visit iLinkBlue, then click on “Blue Advantage” under the “Other Sites”.The BCBSLA app is a healthcare application made for Android that’s intended for use by Blue Cross and Blue Shield of Louisiana insurance members and residents of Louisiana. Find a doctor or an... Please check your group’s plan documents to ensure you are visiting networked providers and pharmacies. To view all in-network providers, please choose the HMO Louisiana HMO/POS network in the All Networks dropdown above. To get the most out of your benefits and for the lowest cost share, click here to view providers participating in the ... iLinkBlue User Guide. Save this page to your browser favorites to easily access iLinkBlue going forward. For login/access issues call (800) 716-2299 option 5 or email [email protected]. For portal assistance call (800) 716-2299 option 3 or email [email protected] this form to file a provider dispute. This form must be included with your request to ensure that it is routed to the appropriate area of the company, thus avoiding delays in our review process. It is important to include the proper information (based on your reason for review) and submit it to the appropriate mailing address.Get Preventive Care. If you use a provider in your network, you can get certain routine preventive services at no extra cost to you. This means you do not have to pay a deductible, copayment or coinsurance.*. See a Primary Care Doctor Regularly. You can get one physical exam per year at no extra cost with most plans.Get Preventive Care. If you use a provider in your network, you can get certain routine preventive services at no extra cost to you. This means you do not have to pay a deductible, copayment or coinsurance.*. See a Primary Care Doctor Regularly. You can get one physical exam per year at no extra cost with most plans.Blue Advantage offers Medicare coverage, prescription drug coverage, and extra benefits at no additional cost. Find a plan that suits your needs and access a large network of doctors and pharmacies in Louisiana.4 Ca 1-866-440-1350 TTY 711 or visit www.BlueAdvantageOTC.com to pace our order. You can order up to credits orth of over-the-counter supplies per quarter. 108 MIGRAINE RELIEF Compare to EXCEDRIN® MIGRAINE 24 ct 10 05 PAIN RELIEVING CAPLETS Compare to …6 2024 Over-the-Counter (OTC) Benefit Catalog Item # 953 $8.00 Gas-X® Softgels, Extra Strength 125mg 20 count Item # 954 $17.50 Gas-X® Softgels, Max Strength 250mg 30 count Item # 303 $9.00 Glycerin Suppository, Adult 25 count Item # 1274 $12.00 Fleet® Glycerin Suppository, Adult 50 count Item # 955 $17.00 Imodium® A-D Anti-Diarrheal Caps * 24 count Item # 1269 $22.00 Lactaid® Caplets 60 ...B ss an B i Lisiana Professional Provider Office Manual March 2023 5.7-6 tin 5 Biin an Risnt iins Billing for the Administration of Spravato HCPCS codes G2082 and G2083 should be used to bill Blue Cross for the administration and post-Protecting Your Information. Rate Justification. Rights and Responsibilities. Third-Party Apps. Third-Party Policy. Transparency in Coverage. Transparency: HMOLA. Transparency: LAHSIC. If you have a chronic condition, Blue Cross and Blue Shield of Louisiana's care management programs can help you keep you as healthy as possible.However, now is not the right time to make this bold step. BCBSLA remains focused on serving our customers and remaining the healthcare partner of choice in Louisiana for the next 90 years and beyond. LOUISIANA HEALTH INSURANCE. Louisianians deserve to live long, healthy and prosperous lives, to be safe, to feel hopeful about the days ahead.Shreveport. Phone. 318-795-4911 (Individual) 318-795-0573 (Group) Address. 411 Ashley Ridge Blvd. Shreveport, LA 71106. As a Louisiana's largest health insurance company, Blue Cross and Blue Shield of Louisiana has nine regional offices.BCBSLA and Elevance Health formed the Healthy Blue joint venture, where we have partnered together since 2017 to offer a Blue option to Louisiana’s Medicaid population. Since forming Healthy Blue, it has become clear that our missions and cultures are aligned, with a focus on community, volunteerism, diversity, equity and inclusion.Login - iLinkBlue | Blue Cross Blue Shield of Louisiana. Network Development. Option 1. Fax (225) 297-2750. Provider Credentialing. Option 2. Fax (225) 297-2750. EDI Services. Option 3.Complete this form to file a provider dispute. This form must be included with your request to ensure that it is routed to the appropriate area of the company, thus avoiding delays in our review process. It is important to include the proper information (based on your reason for review) and submit it to the appropriate mailing address.6 2024 Over-the-Counter (OTC) Benefit Catalog Item # 953 $8.00 Gas-X® Softgels, Extra Strength 125mg 20 count Item # 954 $17.50 Gas-X® Softgels, Max Strength 250mg 30 count Item # 303 $9.00 Glycerin Suppository, Adult 25 count Item # 1274 $12.00 Fleet® Glycerin Suppository, Adult 50 count Item # 955 $17.00 Imodium® A-D Anti-Diarrheal Caps * 24 count Item # 1269 $22.00 Lactaid® Caplets 60 ... BlueCare Telehealth: Get Care from Anywhere! Medical and behavioral health visits available. Have a BlueCare online medical visit 24/7 or behavioral health visit by appointment using a computer, smartphone, tablet or any device with internet and a camera. Before every visit, you will see what it will cost based on your plan type and benefits. If you have questions about how your claims information is shared with your provider’s office, please call the Blue Cross Information Governance Office at (225) 298-1751. Get affordable access to quality healthcare with our Quality Blue Primary Care program. iLinkBlue User Guide. Save this page to your browser favorites to easily access iLinkBlue going forward. For login/access issues call (800) 716-2299 option 5 or email [email protected]. For portal assistance call (800) 716-2299 option 3 or email [email protected] is not responsible for the accuracy, content, views or privacy policies of that website. Any information that you provide to the third party will be subject to the terms of that website including, but not limited to, those related to confidentiality, data privacy and security. You should contact the external site if you have questions ...BCBSLA is an Equal Opportunity and Affirmative Action Employer and prohibits discrimination and harassment of any kind. It is the policy of BCBSLA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual ...Telehealth is very similar to an in-person visit and is a legitimate way to get care for routine, non-emergency illnesses or have check-ups for long-term conditions like diabetes, high blood pressure or heart disease. In most cases, healthcare providers can give you a new prescription or a refill through telehealth.This form is used for you to give Blue Cross permission to share your protected health information with another person or company. Download Authorized Delegate Form. Forma De Autorización Delegada. Other Authorized Delegate Forms. Blue Benefit Services. Federal Employee Program. Office of Group Benefits.BCBSLA is not responsible for the accuracy, content, views or privacy policies of that website. Any information that you provide to the third party will be subject to the terms of that website including, but not limited to, those related to confidentiality, data privacy and security. You should contact the external site if you have questions ...Ochsner's Virtual OnDemand Urgent Care service "Ochsner Connected Anywhere" lets members with a Blue Connect plan have private, secure video visits with a healthcare provider from the convenience of your workplace or home. All you need is a smartphone, tablet or computer to get started.BlueCare is powered by AmWell, a vendor that provides the BlueCare telehealth platform for Blue Cross and Blue Shield of Louisiana and its subsidiaries. If you need assistance, please contact AmWell by email or telephone, 24/7. Customer support email: [email protected]. Customer support line: 855-269-3554.Shreveport. Phone. 318-795-4911 (Individual) 318-795-0573 (Group) Address. 411 Ashley Ridge Blvd. Shreveport, LA 71106. Living in Louisiana and need health insurance? Call, click or come in today to get a quote from Blue Cross and Blue Shield of Louisiana.These Short-Term Medical point-of-service (POS) plans are a flexible, affordable and convenient way to bridge the gap in healthcare coverage. Bridge Blue plans can provide you with medical and prescription drug benefits for up to 11 months if you don’t have insurance or if you’re in between traditional health plan coverage. Bridge Blue POS.We are still here to assist you and want to share a number of ways you can reach customer service: We encourage you to log in to your online account from home 24/7 to check balances, make payments or check claim status. Hear account information via the phone at 1-800-599-2583. Speak with a Customer Service Advisor by calling 1-800-495-2583, 8 a ... We are still here to assist you and want to share a number of ways you can reach customer service: We encourage you to log in to your online account from home 24/7 to check balances, make payments or check claim status. Hear account information via the phone at 1-800-599-2583. Speak with a Customer Service Advisor by calling 1-800-495-2583, 8 a ... Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Not connected with or endorsed by the U.S. government or the federal Medicare program. This policy has exclusions, limitations, reductions of benefits or terms under which the ... If you have questions about how your claims information is shared with your provider’s office, please call the Blue Cross Information Governance Office at (225) 298-1751. Get affordable access to quality healthcare with our Quality Blue Primary Care program. BlueCare is powered by AmWell, a vendor that provides the BlueCare telehealth platform for Blue Cross and Blue Shield of Louisiana and its subsidiaries. If you need assistance, please contact AmWell by email or telephone, 24/7. Customer support email: [email protected]. Customer support line: 855-269-3554. BCBSLA is not responsible for the accuracy, content, views or privacy policies of that website. Any information that you provide to the third party will be subject to the terms of that website including, but not limited to, those related to confidentiality, data privacy and security. You should contact the external site if you have questions ...Save up to 20% Off Garmin Devices. 40% Off Non-GMO Supplements. 20% Off Pain Relieving Heat & Ice Therapy. Save up to $2,000 on Closing Costs. Save 12% on Healthy Cajun Spices and Seasonings. Up to 20% off Hyperice Innovative Massage Devices. Free Hearing Screening and Set Discounted Prices on Hearing Aids.We have made it easy for our members to find a provider! Click on the Find a Doctor link at the top of any page on bcbsla.com. Choose a directory from the Directories column under the Find a Doctor dropdown menu at the top of the page. 3. Select your network and enter provider name. . 4. View the list of providers returned in the search results.Founded in New Orleans in 1934, Blue Cross and Blue Shield of Louisiana has worked for over 80 years to improve the health and lives of Louisianians. The company is operated by Louisiana people and is mutually held. In other words, everyday policy-holding customers own Blue Cross. The Blue Cross and Blue Shield of Louisiana Foundation is a ... Current Password. Log In. Forgot/Reset Password Need help logging in? iLinkBlue User Guide. Do not save this page to your browser favorites. Click here to be redirected to the page you can save in your browser favorites for iLinkBlue. For login/access issues call (800) 716-2299 option 5 or email [email protected]. Hearing Impaired Callers contact Louisiana Relay Service at 1.800.846.5277 (TTY) for assistance. Provide LRS with 1.800.599.2583 as the number they use to direct your call to the correct Blue Cross department. Learn about Blue Cross' procedures and policies for complaints, grievances, informal reconsideration and appeals. We recently updated our security standards to protect your personal information. If your online account was not associated with an email address only you use, your account was deleted and you will need to Re-register.If you are a Blue Advantage member, you can access your online account to view your plan details, claims, benefits, discounts, and more. You can also find a provider, request a new ID card, or update your personal information. Log in to the member portal home and be your best with Blue Advantage!iLinkBlue. iLinkBlue is our secure online tool for healthcare providers designed to help you quickly complete important functions online. This online tool is free to professional and institutional (facility) providers. Billing/Collection agencies may also access iLinkBlue when permitted by the provider and with additional agreement information.Download our BCBSLA app on an iPhone or Android and get healthcare information at your fingertips! 01MK6838 R08/23 Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross Blue Shield Association. *This is not an inclusive list of online account features, and options may vary based on the plan(s) you have. ...Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Y0132_22-425_MKLA. We offer health insurance including medical, dental, Medicare Advantage and prescription drug coverage to individuals, families and employers.BCBSLA is not responsible for the accuracy, content, views or privacy policies of that website. Any information that you provide to the third party will be subject to the terms of that website including, but not limited to, those related to confidentiality, data privacy and security. You should contact the external site if you have questions ...Blue Advantage from Blue Cross and Blue Shield of Louisiana HMO is an HMO plan with a Medicare contract. Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Y0132_22-425_MKLA. We offer health insurance including medical, dental ...
For the physician fax form, go to: www.bcbsla.com > Provider > Pharmacy. ST: Medications requiring participation in the Fill This First s tep therapy program For drugs in our Fill This First step therapy program, you must first try certain prescription drugs (Step 1). Las to sfo flights
Find health insurance plans for individuals, families and employers in Louisiana. Learn about Medicaid changes, Medicare options, dental coverage, gym discounts and more.Visit our provider directory to find a doctor or hospital near you. Check out our Help Center to get answers to common questions. Learn more about our health insurance plans to get coverage. GROUP MEMBERS. State Employees/Retirees. Federal Employees. Abbeville General. Ochsner Clinic Foundation. Slidell Memorial Hospital.Page 1 of 2 Version 1.0 - 2018-12 Phone: Fax: Date: S LOUISIANA UNIFORM PRESCRIPTION DRUG PRIOR AUTHORIZATION FORM SECTION I — SUBMISSION ECTION II ― PRESCRIBER INFORMATION Last Name, First Name MI: NPI# or Plan Provider #: Specialty:Page 1 of 2 Version 1.0 - 2018-12 Phone: Fax: Date: S LOUISIANA UNIFORM PRESCRIPTION DRUG PRIOR AUTHORIZATION FORM SECTION I — SUBMISSION ECTION II ― PRESCRIBER INFORMATION Last Name, First Name MI: NPI# or Plan Provider #: Specialty:Nominate them for The Angel Award. In recognition of the program's 30th anniversary, past honorees will choose nine incredible individuals to be celebrated. The Blue Cross Foundation will also make a $30,000 grant to the nonprofit of each honoree's choice. The deadline to nominate an Angel is April 5, 2024. Nominate an Angel.6 2024 Over-the-Counter (OTC) Benefit Catalog Item # 953 $8.00 Gas-X® Softgels, Extra Strength 125mg 20 count Item # 954 $17.50 Gas-X® Softgels, Max Strength 250mg 30 count Item # 303 $9.00 Glycerin Suppository, Adult 25 count Item # 1274 $12.00 Fleet® Glycerin Suppository, Adult 50 count Item # 955 $17.00 Imodium® A-D Anti-Diarrheal Caps * 24 count Item # 1269 $22.00 Lactaid® Caplets 60 ...employees access to our secure online services. This includes iLinkBlue, BCBSLA Authorizations and Behavioral . Health Authorizations. We require each provider organization have at least one administrative representative, although we recommend more than one. The administrative representative will use theI agree to only access the portal when authorized for enrollment, billing, and claims administration. I understand that any misuse of such information is strictly prohibited and may violate these laws. I also agree to protect my logon ID and password and to change my password if it becomes compromised. Blue Cross and Blue Shield of Louisiana is ...Blue Advantage from HMO Louisiana, Inc. is an HMO plan with a Medicare contract. Enrollment in HMO Louisiana depends on contract renewal. HMO Louisiana, Inc. is a subsidiary of Blue Cross and Blue Shield of Louisiana, independent licensees of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of Louisiana is incorporated as ...These programs are also a benefit to providers as their patient receives individualized support, disease information and we assist with coordination of care, serve as an advocate and help members find qualified providers. Disease Management. Case Management. We offer our members a series of disease and care management programs.HOW TO FILE A CLAIM. Items 1 through 12 of the top portion of the claim form must be filled out by you. The doctor, hospital or other supplier may complete the bottom portion of the form; or you may attach a copy of an itemized bill of the charges from the doctor or supplier. A sample of the part that you must complete is shown below.Safe Disposal of Unused/Leftover Prescription Drugs. Blue Cross and Blue Shield of Louisiana partners with Louisiana Attorney General Jeff Landry, National Association of Drug Diversion Investigators and law enforcement offices throughout the state to install drug drop boxes. These boxes are a secure, anonymous way for people to safely get rid ....