Change notifications
January 2024 Provider Manual change notification letter (PDF, 190 KB)
Complete manual
September 2023 Independent Physician and Provider Manual (PDF, 6.7 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 2024 Provider Manual change notification letter (PDF, 190 KB)
September 2023 Independent Physician and Provider Manual (PDF, 6.7 MB)
Download Section 1 (PDF, 297 KB)
Download Section 2 (PDF, 525 KB)
Download Section 3 (PDF, 232 KB)
Download Section 4 (PDF, 317 KB)
Download Section 5 (PDF, 376 KB)
Download Section 6 (PDF, 89 KB)
Appendix for Section 1 (PDF, 340 KB)
Appendix for Section 2 (PDF, 524 KB)
There is no appendix for Section 3.
Appendix for Section 4 (PDF, 580 KB)
Appendix for Section 5 (PDF, 1.4 MB)
Appendix for Section 6 (PDF, 186 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.