providers

tools for medical providers

Advanced Health Information Network (AHIN) — Determine medical eligibility, check claim status, correct errant claims and submit new claims. View demo and enrollment information.

BlueCard® Guide

BlueCard News

Coverage Policy — Policy information for in-area members.

Electronic Data Interchange (EDI) — Resource for the Health Insurance Portability and Accountability Act (HIPAA) requirements and testing.

Forms for Providers

HealthConnect Blue — Health information and interactive health coaching.

Medical Policy and Pre-certification/Pre-authorization — Policy and pre-certification/pre-authorization information for out-of-area members.

Other Insurance/Coordination of Benefits (COB) (PDF) — We want to pay your eligible claims as fast as possible, so please fill out this form to let us know what other insurance you may have.

Prior Authorization Information for Radiological Services

Provider Manual - Arkansas Blue Cross and Blue Shield — Policies and procedures to assist providers in filing claims, referral requests and other services.

Provider Manual - Medi-Pak Advantage — Policies and procedures to assist providers in filing claims, referral requests and other services.

Providers' News — Quarterly publication.

provider participation information

Blue Distinction Centers

Medi-Pak® Advantage PFFS Information

Medi-Pak® Advantage Terms and Conditions — Information regarding Medi-Pak® Advantage Terms and Conditions.

Network Participation Guidelines and Listing Changes

tools for dental providers

MyDentalCoverage for Dentists — Determine dental eligibility, check claim status, correct errant claims and submit new claims. Need to register?

Dental Agreement effective May 1, 2012 (PDF)

Claims and Benefits Information

Member Dental Claim Form (PDF)

Accident Form for Dental Injury (PDF) — Please use this form to file a claim with your medical plan. Accidents are not covered under your dental policy.

Authorization Form for Clinic/Group Billing (PDF) — Use for notification that a practitioner is joining a clinic or group.

Provider Change of Data Form (PDF) — Use to report a change of address or other data. Completion of this form DOES NOT create any network participation.

Termination Form for Clinic/Group Billing (PDF) — Use for notification that a practitioner is leaving a clinic.

Provider Manual - Dental — Policies and procedures to assist providers in filing dental claims, referral requests and other services.

Why being Blue is Good for You (PDF)

Dental Bulletin


pharmacy benefits

Medicare Plans

Pharmacy Benefits


service center

My BlueLine — Interactive voice response telephone system.

Medical and Dental Network Development Representatives

5010 Resource Center

ICD-10 Resource Center