Providers
Medical Providers
Provider Manual
Your source for commonly asked questions about healthcare coverage, claims procedures, policies and more.
View Provider ManualCoverage policy
Quickly search for coverage information using a keyword, procedure code, policy number or title.
View coverageProviders' News
Find updates on the latest policies and procedures for providers.
Read Providers' NewsCoverage policy and pre-certification/pre-authorization
Coverage policy and pre-certification/pre-authorization information for out-of-area members.
View coverage policyPrior approval information for radiological services
Information to assist providers in filing claims, referral requests and other services.
View morePrior approval information for medical oncology drugs
Information for providers on requesting prior approval for medical oncology drugs.
Learn morePrior approval information for step therapy protocol exception
Information for providers on an exception request process for drugs identified by the health plan as subject to step therapy.
View processPrior approval guide for Metallic policies
Use this guide to see prior approval information for members with ID card prefixes: AEE, AXC, EXX, XCB, XCQ, XCR
View guides [pdf]Radiology utilization for Arkansas Blue Cross FEP
AIM Specialty Health® to manage radiology utilization for Arkansas Blue Cross FEP
About FEP program