Webinars and Presentations

October 2018

Regional Provider Meeting


April 2018

PCMH Recruitment


March 2018

Regional Provider Meeting

Previous Webinars

November 2017

Medical Policy Blue Enhancements


December 2016

Day One Precertification program


August and September 2016

Radiology Preauthorization program


December 2015

Prior Authorization Programs


November 2015

A New Opportunity - Medicare Advantage


The Basics of Dental Claims 


October 2015

Timely Filing and Corrected Claims


September 2015

The ABCs of FEP


August 2015

Risk Adjustment


June 2015

ICD-10: The Final Stretch


May 2015

The Appeal and Reconsideration Process


July 2014

BlueCard® Basics


June 2014

NeHii: Offering Benefits to Providers


May 2014

Credentialing Basics


April 2014

Health Care Reform Update


March 2014

Going Green with Blue 


December 2013

Affordable Care Act


Pediatric Dental Services


September 2013

Provider Service Changes


APR-DRG Webinar


July 2013

Provider Resource Webinar

  • Webinar Recording
  • Webinar PDF
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The percentage of the bill you pay after your deductible has been met.


A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 


The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.


Includes behavioral health treatment, counseling, and psychotherapy

in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)


Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.


If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.


The amount you pay to your health insurance company each month. 

Preventive services

Health care services that focus on the prevention of disease and health maintenance.


Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).


A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.