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

Subscribe to News Updates

Questions about the Coronavirus?

Get the latest news and information from the Centers for Disease Control and Prevention (CDC) at .

Register today: Exploring the intersection of race and disability

Healthy Blue is committed to making healthcare simpler and reducing health disparities. Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve — all Americans.

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).

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

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.

Growth hormone formulary change notice effective September 20, 2021

The formulary changes reviewed and approved at the third quarter 2021 Pharmacy and Therapeutics Committee meeting.

Specialty Pharmacy Prior Authorization Retraction Notice

Effective May 1, 2021, the following codes would be included in our prior authorization review process.

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

Interested in becoming a provider in the Healthy Blue network?

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