Home | LA Healthy Blue Providers

market	Title	menu	HTML	Approval Status
LA	The Healthy Blue Network	1.1	The Healthy Blue Network	Approved
LA	Prior Authorization & Claims	2.1	Finding Tools on Availity Prior Authorization Information Prior Authorization Lookup Tool (PLUTO) Submit Claims & Appeals ICD-10 Electronic Data Interchange (EDI) Reimbursement Policies	Approved
LA	Eligibility & Benefits	3.1	Benefit Partners Pharmacy Information Formulary Clinical Pharmacy Policies Finding Tools on Availity Eligibility, Panel Listings & Member Reports Patient360	Approved
LA	Provider Support	4.1	Education & Resources Communication & Updates Manuals, Directories, Training & More Finding Tools on Availity Quality Assurance The Healthcare Effectiveness Data and Information Set HEDIS® Clinical Practice Guidelines Medical Policies and Clinical Utilization Management Guidelines Care Management Model Medical Management Model Helping Members Disease Management Centralized Care Unit (DMCCU) Health Education Early and Periodic Screening Diagnostic Treatment (EPSDT) Cultural & Linguistic Resources Behavioral Health Maternal Services Rights & Responsibiities Forms Find A Doctor	Approved
Secure	Prior Authorization & Claims	2.1	Finding Tools on Availity Prior Authorization Information Prior Authorization Lookup Tool (PLUTO) Check Status of a Prior Authorization & Submit an Appeal Claims Check Appeal Status ICD-10 Electronic Data Interchange (EDI) Reimbursement Policies	Approved
Secure	Eligibility & Benefits	3.1	Benefit Partners Pharmacy Information Formulary Clinical Pharmacy Policies Finding Tools on Availity Eligibility, Panel Listings & Member Reports Patient360	Approved
Secure	Provider Support	4.1	Education & Resources Communication & Updates Manuals, Directories, Training & More Finding Tools on Availity Quality Assurance The Healthcare Effectiveness Data and Information Set HEDIS® Clinical Practice Guidelines Medical Policies and Clinical Utilization Management Guidelines Care Management Model Medical Management Model Helping Members Disease Management Centralized Care Unit (DMCCU) Health Education Early and Periodic Screening Diagnostic Treatment (EPSDT) Cultural & Linguistic Resources Behavioral Health Maternal Services Rights & Responsibiities Forms Find A Doctor	Approved
Secure	The Healthy Blue Network	1.1	The Healthy Blue Network	Approved

News & Announcements

Amerigroup Louisiana is now Healthy Blue

Resources