Name of Manual - Blue Cross and Blue Shield of Minnesota

Provider Agreements
Participation and Responsibilities
Advantages of
Participation
Responsibilities of
Participating Providers
Advantages of being a participating provider include:
• Direct payment from Blue Cross reduces administrative
expense and improves cash flow
• Blue Cross members have financial incentives to use
participating providers
• Participating providers’ names are included in directories that
we publish for our members
• Blue Cross contracts do not contain exclusivity clauses that
prohibit you from participating with other health plans
• Participating providers receive a Statement of Provider Claims
Paid explaining how claims are processed
• Opportunity to attend provider seminars offered free of charge
by Blue Cross
• Dedicated service staff available to assist participating
providers
• Electronic options such as provider web self-service to obtain
information
Responsibilities of being a participating provider include:
• Participating providers are required to electronically submit all
claims. Paper claims submitted by providers will be rejected
and will need to be submitted electronically. Blue Cross will
not consider such paper claims to have been received until
resubmitted electronically.
• Participating in the Blue Cross credentialing process.
• Participating in Blue Cross managed care programs.
2-2 Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (01/05/10)