Blue Cross and Blue Shield professional fee schedule



Blue Cross and Blue Shield

Professional Fee Schedule Request

To request a copy of your Blue Cross and Blue Shield of Minnesota professional fee schedule, please complete this form and submit via email to:

Fee_Schedule_Allowance_Request@

Blue Cross Blue Shield of Minnesota is only obligated to complete two fee schedule allowance requests per year. Once you received an email with your fee schedule, you have up to 30 days to retrieve and save the files.

At this time we do not distribute fee schedule information to providers who are non-participating with Blue Cross and Blue Shield of Minnesota. Non participating fee schedules methodology is based off CMS. Please refer to the CMS website for allowances.

If you would like to become a participating provider or have questions outside of Fee Schedule allowances, please contact provider services at (651) 662-5200

or 1-800-262-0820.

Provider Name _________________________________________________________

NPI: __________________________________________________________________

BCBSMN internal contract number: _________________________________________

Person Completing Form: _________________________________________________

Date: _________________________________________________________________

E-Mail Address: ________________________________________________________

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