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Medical policies the policies contained in the fep medical policy manual are developed to assist in administering contractual benefits and do not constitute medical advice. To view medical policies and utilization management guidelines applicable to members enrolled in the blue cross and blue shield service benefit plan (commonly referred to as the federal employee program ® fep ®), please visit fepblue.org> policies & guidelines. Physicians and other health care providers are expected to exercise their medical judgment in providing the most appropriate care
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Blue cross and blue shield service benefit plan is the official name of coverage offered to federal employees and annuitants by participating blue cross and blue shield plans Review the latest provider administration manuals, medical policies and guidelines to find information about how we deliver member benefits, how we determine medical necessity and other important decisions. This plan is commonly referred to as the federal employee program or fep
Fep utilizes the blue choice ppo network.
These medical policies serve as guidelines for health care benefit coverage decisions, which may vary according to the different products and benefit plans offered by bcbsil. Relevant clinical practice guidelines and standards of care should be followed The patient record should be available to the patient and their other providers when requested. Once you accept the terms and conditions below, you’ll be connected to the medical policy portal
From there, simply click the applicable policy portfolio (i.e., commercial, medicare advantage, mappo host) from the selections across the top of the page to access the specific policies.
