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BlueCross BlueShield of Tennessee Medical Policy Manual DME (Durable Medical Equipment) · Endocrinology (Hormonal/Metabolism) Because our medical policies offer clinical guidelines for health care providers, we recommend that members talk with their physician if they have questions Providers should be knowledgeable about BCBSIL Medical Policies. These Medical Policies serve as guidelines for health care benefit coverage decisions, The purpose of the Horizon Medical Policy Manual is to provide clinical policies applicable to the administration of health benefits insured or administered by Find information for assessing coverage options, guidelines for clinical utilization management, practice policies and support for delivering benefits to Search for medical policies and guidelines and get policy updates. Find prior review, or prior plan approval, requirements and instructions for requesting Review the latest provider administration manuals, medical policies and guidelines to find information about how we deliver member benefits, how we determine Medical policies apply generally to all Blue Cross and Blue Plus plans and All products and coverage guidelines are subject to applicable laws andMedical policies and clinical utilization management guidelines help us determine if a procedure is medically necessary. Visit Anthem.com to learn more Technology determinations are made using criteria developed by the BlueCross BlueShield Association's® Technology Evaluation Center. Use Our Plans and any of