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
Effective for dates of service on and after November 1, 2019, Healthy Blue has updated precertification requirements for outpatient behavioral health services.
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.
These policies were developed, revised or reviewed to support clinical coding edits.
Effective October 1, 2019, Healthy Blue will assume educational review and payment responsibility for BabyNet services for Healthy Connections members.
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
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.
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.
