Skip to Content (Press Enter)


Provider forms

Access forms for medical and dental providers.

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 more about HIN

Prior authorization for requested services

The primary coverage criteria of certain services must be established through a prior approval or pre-authorization process before they can be performed.

Learn more about prior authorization

HEDIS measures

Get details for specific HEDIS® Star measures.

View HEDIS information

BlueCard® program

A program linking providers across the country into a single electronic network for claims processing and reimbursement.

Learn about BlueCard

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

Blue Distinction Centers

The Blue Distinction program highlights medical facilities demonstrating expertise in delivering quality healthcare.

View Blue Distinction Centers

Total Care

Total Care recognizes doctors that focus on health care instead of sick care. Total Care is coordinated, patient-focused and, in many cases, more affordable healthcare.

Learn more about Total Care

Network development reps (NDRs)

Contact one of our medical network representatives with questions or billing issues.

Contact NDRs

Medicare Network Specialists

Contact a dedicated representative with questions or billing issues related to Medicare networks.

Contact a specialist

Prior authorization statistics

See our prior authorization statistics each quarter for medical, pharmacy and transplants.

View stats

Network participation guidelines

Access network participation guidelines and policies for credentialing standards.

View guidelines