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.

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

BlueBlast - November 2019

Behavioral health CPT Codes and Precertification Rules

Oct 1, 2019 - Effective for dates of service on and after November 1, 2019, Healthy Blue has updated precertification requirements for outpatient behavioral health services.

Clinical Criteria Web Posting July 2019

Sept 4, 2019 - These policies were developed, revised or reviewed to support clinical coding edits.

BabyNet Converts to Managed Care Administration

As of October 1, 2019, the South Carolina Department of Health and Human Services shifted administrative responsibilities for the BabyNet program to the Medicaid managed care plans.

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.