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

Behavioral health CPT Codes and Precertification Rules

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

BlueBlast - October 2019

Pharmacy Benefit Manager Changes to IngenioRx Beginning Oct. 1, 2019, IngenioRx will become the pharmacy benefit manager (PBM) for prescription drugs, home-delivery pharmacy and specialty pharmacy for Healthy Blue members. IngenioRx, Inc. is an independent company that provides pharmacy benefit management services on behalf of BlueChoice HealthPlan.

Clinical Criteria Web Posting July 2019

These policies were developed, revised or reviewed to support clinical coding edits.

BabyNet for Healthy Connections members

Effective October 1, 2019, Healthy Blue will assume educational review and payment responsibility for BabyNet services for Healthy Connections members.

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.