Blue Cross and Blue Shield of Montana (BCBSMT) is committed to providing you with the resources you need to collaborate with us in providing excellent service to your BCBSMT patients. This section of the website is designed to provide you with manuals, documents, procedures, policies and regulations, so you have the information at your fingertips to administer BCBSMT health insurance products, policies and procedures.
-
- Home
- Network Participation
- Claims and Eligibility
Claims and Eligibility
- Claims and Eligibility
- Electronic Commerce
- Eligibility and Benefits
- Utilization Management
- Prior Authorization and Recommended Clinical Review
- How to Request Prior Authorization and Recommended Clinical Review
- Prior Authorization Lists
- Claim Submission
- Claim Payment
- Claim Review and Appeal
- Refund Management
- ClaimsXten
- Evicore
- Interactive Voice Response (IVR) System
- Carelon
- Education and Reference
- Clinical Resources
- Pharmacy Program
- Standards and Requirements
- Availity® Essentials Portal
- Employers
- Producers
- Providers
- Company Information