Skip to Content (Press Enter)

Providers

Most popular: Providers

Coverage policy and pre-certification/pre-authorization

Find out which procedures are covered by your policy or if your procedure requires prior authorization.

View coverage details

Provider forms

Access forms for dental and medical providers.

View forms

Health 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 about HIN Access AHIN

My Blueline

Participating providers may call My BlueLine for eligibility, claim status and benefit information for members.

More about My Blueline

HEDIS measures

Get details for specific HEDIS® Star measures.

View HEDIS information

Value-based programs

Learn more about our value-based care program, which rewards providers for coordinating care and for positive health outcomes.

View value-based care

Providers' News

Find updates on the latest policies and procedures for providers.

Read Providers' News