Providers
Providers
Provider Manual
Your source for commonly asked questions about healthcare coverage, claims procedures, policies and more.
View Provider ManualHealth Information Network (HIN)
Provides access to patient information including demographics, eligibility and benefits, claims, claim submission, claim correction, claim status, remittance advices, fee schedules, and more.
Learn more about HINCoverage policy
Quickly search for coverage information using a keyword, procedure code, policy number or title.
View coverageValue-based programs
Learn more about our value-based care program, which rewards providers for coordinating care and for positive health outcomes.
View value-based careBlueCard® program
A program linking providers across the country into a single electronic network for claims processing and reimbursement.
Learn about BlueCardMedical Pharmacy
Learn more about pharmaceutical therapies administered by a provider and billed through the medical benefit.
Learn more about medical pharmacy