Go to content

Medical Policies

NOTICE
Blue Cross and Blue Shield of Kansas is updating components of the claims processing system. Until final implementation, some claims may not process in accordance with medical policy. If a claim has not processed according to the policy, please submit a request for retrospective review as outlined in Policy Memo No. 1 for Professional Providers or an inquiry verification review as outlined in the Policies and Procedures for Institutional Providers.

To promote knowledge and understanding of these guidelines, BCBSKS encourages providers to share these medical policies and articles with other health care providers and professionals.

Institutional Providers

Professional Providers

 

Definitions

  • Articles by our Medical Review Staff - articles written by our medical staff to inform providers about subjects relating to patient care and medical review issues.

  • Experimental/Investigational Services - defines and lists experimental/investigational services. This information is not all-inclusive.

  • Medical Policies - reflect medical criteria used/developed by Blue Cross and Blue Shield of Kansas.

Current Procedural Terminology (CPT®) is copyright 2006 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.

CPT® is a trademark of the American Medical Association.