Premier Blue
How Premier Blue Works
After Hours Non-Emergency Care
Billing Information
- Electronic Claims Submissions and Referrals
- Filing of Primary Care Services
- Reimbursement for Non-Primary Care Services
- Reporting Services Paid by Other Insurance
- Capitated Services Provided by a Covering Physician
- Refunding a Payment
- Remittance Advice
Concurrent Review Procedure
Hospital Inpatient Admissions
- Managed Care Services
- Prior Authorization
- Concurrent Review
- Case Management
Member Eligibility Listing
Physician Network
- Primary Care Physicians
- Referral Specialists
Physicians' Pre-certification Procedure
Practice Restrictions
Premier Blue Medical Director
Premier Blue Well Woman Care
Primary Care Physician Responsibilities
Referral Requirements
- When Required
- When Not Required
- Patient Self-Referral
- Referrals for Surgery
- Referrals for Laboratory and X-ray Services
- Referrals to Non-Contracting Providers
- Retro Referrals
- Referrals for Mental Health/Substance Abuse Care
- Referrals to Kansas City Area
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