Healthy Blue is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.COVID-19 information
Availity access
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format, regardless of the payer. Availity is an independent company that provides a secure portal on behalf of BlueChoice HealthPlan.
At Availity you can:
Request Authorizations
Submit Claims
Confirm Eligibility
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Provider news
The latest articles and announcements on claims filing, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more
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Questions about the Coronavirus?
Get the latest news and information from the Centers for Disease Control and Prevention (CDC) at www.cdc.gov/coronavirus .
Register Today: Continuing to Explore the Intersection of Race and Disability
Register today for the Exploring the Intersection of Race and Disability forum hosted for providers on September 21, 2022. We believe that continuing the discussion we started at our June 2022 event to deepen the conversation about the disability experience for people of color is critically important.
- Register Today: Continuing to Explore the Intersection of Race and Disability
Medical Specialty Pharmacy Announcement
Healthy Blue is pleased to announce a drug delivery option that enhances medication accessibility to both members and providers. Healthy Blue is contracted with CVS Specialty as a medical specialty pharmacy (MSP).
- Medical Specialty Pharmacy Announcement
Join us in talking about racism and its impact on health
At Healthy Blue, we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve
- Join us in talking about racism and its impact on health
Prior authorization updates for medications billed under the medical benefit - Effective March 1, 2022
Effective for dates of service on and after March 1, 2022, the following medication codes billed on medical claims from current or new Clinical Criteria documents will require prior authorization.
Featured resources
Pharmacy information
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
Maternal child program
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the New Baby, New LifeSM program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
Behavioral health provider
We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.
Provider Tools & Resources
- Log in to Availity
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manual and Guides
- Referrals
- Forms
- Provider Education
- Pharmacy Information
- Electronic Data Interchange (EDI)
We look forward to working with you to provide quality services to our members.Interested in becoming a provider in the Healthy Blue network?
Reimagining Healthcare
As a healthcare partner to one-in-three Americans, the Blue Cross and Blue Shield Association is embracing the opportunity to improve lives across the United States, with President and CEO Kim Keck leading the effort.
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Racial and Ethnic Disparities in Maternal Health
Pregnancy and childbirth complications in the United States have increased among all women by about 9% between 2018-2020. Moreover, racial and ethnic disparities in those complications persist. Black, Latina and Asian women all continue to fare worse than White women when it comes to the likelihood of complications.
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COVID-19 Updates
We’re committed to supporting our members, communities and healthcare workers in the wake of the novel coronavirus outbreak
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BCBS Progress Health
The latest issue analysis, commentary and authoritative insight on health care from the Blue Cross Blue Shield Association
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The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.