Below is a list of resources that help health care professionals do what they do best — care for our members.
At Healthy Blue, we value you as a provider in our network. That's why we’ve redesigned the website to make it more useful for you and easier to use.
Interested in joining our provider network? We look forward to working with you to provide quality services to our members.
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.
The latest articles and announcements on claims filing, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more
Get the latest news and information from the Centers for Disease Control and Prevention (CDC) at www.cdc.gov/coronavirus.
The following updates will apply to the AIM Clinical Appropriateness Guidelines for Advanced Imaging for claims with dates of service on and after March 14, 2021. AIM Specialty Health is a separate company providing some utilization review services on behalf of BlueChoice HealthPlan.
Effective for dates of service on and after January 1, 2021, some specialty pharmacy codes from current or new clinical criteria documents will be included in our precertification review process.
January 1, 2021, the following specialty pharmacy drugs and corresponding codes from current Clinical Criteria will be included in our medical step therapy precertification review process.
The following updates will apply to the AIM Specialty Health Clinical Appropriateness Guidelines for Radiation Oncology for claims with dates of service on and after March 14, 2021. AIM Specialty Health is an independent company providing utilization review service on behalf of BlueChoice HealthPlan.
Due to COVID-19, Healthy Blue has decided not to collect medical records on-site for HEDIS^®^ measurement year (MY) 2021. We are dedicated to protecting the health of both our associates and your staff and patients.
To continue improving HEDIS^®^ scores for the Asthma Medication Ratio (AMR), we have identified two areas that can greatly affect scores - Ensure proper coding and Educating your patients.
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
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.
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.
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