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Google Chrome Mozilla FireFox Apple Safari Microsoft Internet Explorer End of Message Box -- Home Members Employers Agents Providers Medicare Select your member type: Individuals & Families Medicare Insurance Through Your Employer Locations -- Español Contact Us Accessibility Change Color Style: High contrast Normal Style Soft contrast Read more about Web Accessibility -- Florida Blue Tools & Resources Forms Ethics & Compliance Log in -- Main Menu Main Home Find a Plan + Individuals & Families Medicare Businesses Find a Doctor Find a Florida Blue Center Contact Us Español Search -- Members Member Type - Individual and Family Medicare Insurance Through Your Employer Member Login Employers Home Employer Login Tools & Resources Plans & Services News Agents Home Agent Login Tools & Resources Become an Agent Providers Home Provider Login Tools & Resources Forms Ethics & Compliance More About Us Accessibility Tools & Resources Find an Agent Pharmacy News Search Manual for Physicians and Providers More . . . Overview Online Training Forms Medical & Pharmacy Policies and Guidelines Manual for Physicians and Providers Marketplace Health Plans (myBlue, BlueCare HMO, BlueOptions, BlueSelect) Temporary Insurance News and Announcements Bulletins and FAQs Bluemail (email) BlueLine Newsletter Archive Videos Programs Kidney Health Management Program (for Medicare Advantage Members) Risk Adjustment / Quality Revenue Program Management Value-Based Alternative Payment Programs Medicare Advantage Collaborative Program Utilization Management Programs External Resource Links Federal Employee Program® Medicare Stars Quality / HEDIS / CAHPS® HEDIS Measures Tip Sheets Companion Documents / ICD-10 Welcome to the Florida Blue Manual for Physicians and Providers. The Manual is not intended to be a complete statement of all Florida Blue polices or procedures for providers. Other policies and procedures, not included in this manual, may be posted on our website or published in special publications, including but not limited to, letters, bulletins, or newsletters. Any section of this Manual may be updated at any time. Florida Blue may notify providers of updates in a variety of ways, depending upon the nature of the update, including mailings, publication in BlueLine, our provider newsletter, or posting to our website at www.floridablue.com. To access the Provider Manual information click the buttons below. To open links within the document, right click and choose open in new tab or open in new window . Provider Participation Plans and Products Utilization Management Standing Authorizations Claim Submission Billing Guidelines Care Review Coordination of Benefits Appeals and Grievances Quality and Compliance Programs Self Service Tools and Resources Ancillary Common Fee Schedules by Provider Type Ambulance Ambulatory Surgical Center Ambulatory Infusion Services Behavioral Health -- Birthing Center Durable Medical Equipment Hearing Aid Dealer Independent Clinical Laboratory Independent Diagnostic Testing Center Rehabilitative Therapy Sleep Center Urgent Care Center Medical Pharmacy Prior Authorization Lists and Utilization Management Provider Administered Drug Program Medical Pharmacy PA/UM Drug List FB PROV MAN 001 NF 042017 Back to Navigation BACK TO TOP Individuals and Families Tools and Resources How Insurance Works Pharmacy Glossary Helpful Information About Healthcare Reform Find a Florida Blue Center Find an Agent Final Rate Determination Summary of Benefits FHCP Medicare About Florida Blue About Us Florida Blue Foundation Careers Newsroom Blog -- Internet Privacy Statement | Terms of Use We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. 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These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. FB MFT 001 NF 092016 © 2018 Blue Cross and Blue Shield of Florida, Inc. DBA Florida Blue. All rights reserved....