Providers
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Coverage policy
Quickly search for coverage information using a keyword, procedure code, policy number or title.
View coveragePayment policy
Quickly search for payment policy information using a keyword, procedure code, policy number or title.
View payment policyPrior 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 authorizationHealth 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 HINMy Blueline
Participating providers may call My BlueLine for eligibility, claim status and benefit information for members.
More about My BluelineCoverage policy and pre-certification/pre-authorization
Find out which procedures are covered by your policy or if your procedure requires prior authorization.
View coverage detailsProviders' News
Find updates on the latest policies and procedures for providers.
Read Providers' NewsMedical Pharmacy
Learn more about pharmaceutical therapies administered by a provider and billed through the medical benefit.
Learn more about medical pharmacy