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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Health Care Options<br />

<strong>Blue</strong>LinkTPA<br />

<strong>Blue</strong>Link TPA<br />

<strong>Blue</strong>Link is an affiliate <strong>of</strong> <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> an independent licensee<br />

<strong>of</strong> the <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> Association serving residents<br />

<strong>and</strong> businesses <strong>of</strong> <strong>Minnesota</strong>. <strong>Blue</strong>Link utilizes the <strong>Blue</strong> <strong>Cross</strong><br />

network <strong>of</strong> participating providers, provider contract pricing, <strong>Blue</strong><br />

Distinctions Centers <strong>of</strong> excellence <strong>and</strong> the Care Comparison online<br />

tool.. Plan benefits vary by employer, all which are self-insured.<br />

Some <strong>Blue</strong>Link employer customers use remote processing,<br />

meaning that claims come to <strong>Blue</strong> <strong>Cross</strong>, they are priced, <strong>and</strong> then<br />

sent to the employer to complete the claims processing. There are<br />

also employers who utilize our <strong>Blue</strong> <strong>Cross</strong> networks but process<br />

their claims through a third-party administrator.<br />

Providers have access to benefits information for <strong>Blue</strong>Link<br />

members through PWSS.<br />

The <strong>Blue</strong>Card program enables a <strong>Blue</strong>Link member obtaining<br />

health care services while traveling or living in another plan’s<br />

service area to receive the benefits <strong>of</strong> the <strong>Blue</strong> <strong>Cross</strong> plan listed on<br />

their member ID card <strong>and</strong> to access the local plan’s provider<br />

networks <strong>and</strong> savings.<br />

For inquiries, adjustments or appeals contact the employer or the<br />

third-party administrator directly. File electronic claims to <strong>Blue</strong><br />

<strong>Cross</strong>. Mail scannable paper claims to:<br />

<strong>Blue</strong>Link TPA<br />

P.O. Box 64668<br />

St. Paul, MN 55164<br />

5-24 <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (12/27/10)

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