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.
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)
Download and print commonly requested patient care, prior authorization and network forms.
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.