Dec 11, 2017 · Horizon Blue Cross/Blue Shield of New Jersey, United HealthCare, Oxford, Cigna, Aetna Health Inc, Medicare and QualCare. If your insurance provider is not one of these companies, payment for your procedure will fall under the out-of-network benefit of your policy. ... Nov 22, 2015 · Print Version – South Carolina Department of Health and Human … Nov 13, 2014 … Effective January 1, 2015 the South Carolina Department of Health and Human … (SCDHHS) will implement a Claim Reconsideration Policy. Reopening vs. Redetermination Job Aid – CGS Medicare. Sep 9, 2015 … The Blue Cross® and Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. CareFirst of Maryland, Inc. and The Dental Network underwrite products in Maryland only. Optum Forms - Claims All outpatient and EAP claims should be submitted electronically via Provider Express or EDI. For faster claims reminbursement with less hassle, it is strongly encouraged that you sign up for electronic funds transfer (EFT) via our Electronic Payments & Statements (EPS) here .