Change notifications
January 2023 Provider Manual change notification letter (PDF, 290 KB)
Complete manual
January 2023 Independent Physician and Provider Manual (PDF, 4.6 MB)
This manual describes administrative guidelines, policies, and procedures for direct-contact Blue Shield network providers of healthcare services for members of our health plans. You'll need Adobe Reader to view the manual.
January 2023 Provider Manual change notification letter (PDF, 290 KB)
January 2023 Independent Physician and Provider Manual (PDF, 4.6 MB)
Download Section 1 (PDF, 302 KB)
Download Section 2 (PDF, 483 KB)
Download Section 3 (PDF, 215 KB)
Download Section 4 (PDF, 260 KB)
Download Section 5 (PDF, 385 KB)
Download Section 6 (PDF, 105 KB)
Appendix for Section 1 (PDF, 172 KB)
Appendix for Section 2 (PDF, 596 KB)
This manual does not contain an Appendix for Section 3
Appendix for Section 4 (PDF, 422 KB)
Appendix for Section 5 (PDF, 1.5 MB)
Appendix for Section 6 (PDF, 163 KB)
Download and print commonly requested patient care, prior authorization and network forms.
Find operating guidelines for clinical practices, preventive health and procedures for continuing network participation.
Find medication policies information and standards for HIPAA transactions, medical records and more.
Search our drug formulary database, find prior authorization forms and procedures for different types of prescriptions, learn about our mail service pharmacy for medication delivery and find out about generic alternatives.