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
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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
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