Independent physician and provider manual
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.
Change notifications
July 2025 Independent physician and provider manual change notification letter (PDF, 147 KB)
January 2025 Independent physician and provider manual change notification letter (PDF, 272 KB)
Complete manual
January 2025 Independent physician and provider manual (PDF, 3.9 MB)
Forms
Download and print commonly requested patient care, prior authorization and network forms.
Guidelines and procedures
Find operating guidelines for clinical practices, preventive health and procedures for continuing network participation.
Policies and standards
Find medication policies information and standards for HIPAA transactions, medical records and more.
Drugs and pharmacy resources
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.