Providers
Resource Center
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 HINPrior 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 authorizationBlueCard® program
A program linking providers across the country into a single electronic network for claims processing and reimbursement.
Learn about BlueCardValue-based programs
Learn more about our value-based care program, which rewards providers for coordinating care and for positive health outcomes.
View value-based careBlue Distinction Centers
The Blue Distinction program highlights medical facilities demonstrating expertise in delivering quality healthcare.
View Blue Distinction CentersTotal 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 CareNetwork development reps (NDRs)
Contact one of our medical network representatives with questions or billing issues.
Contact NDRsMedicare Network Specialists
Contact a dedicated representative with questions or billing issues related to Medicare networks.
Contact a specialistPrior authorization statistics
See our prior authorization statistics each quarter for medical, pharmacy and transplants.
View statsNetwork participation guidelines
Access network participation guidelines and policies for credentialing standards.
View guidelines