Providers

Welcome, providers!

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.

COVID-19 information

Healthy Blue is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

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


Don't have an Availity account?

Provider news

The latest articles and announcements on claims filing, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more

Questions about the Coronavirus?

Get the latest news and information from the Centers for Disease Control and Prevention (CDC) at www.cdc.gov/coronavirus.

Specialty Pharmacy Prior Authorization Updates

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.

Rituxan Biosimilars Medical Step Therapy Notice

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.

Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology

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.

Clinical quality — Medical record collection update

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.

HEDIS tips — Asthma Medication Ratio

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.

Featured resources


Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child program

We offer a proactive case management program for expectant mothers and their newborns. The My Advocate™ program provides pregnant women proactive outreach and education through interactive voice response, text or smartphone application. My Advocate is an independent company that provides outreach and education services to pregnant women on behalf of BlueChoice HealthPlan.

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

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality services to our members.