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, 216 KB)
Download Section 2 (PDF, 483 KB)
Download Section 3 (PDF, 207 KB)
Download Section 4 (PDF, 260 KB)
Download Section 5 (PDF, 301 KB)
Download Section 6 (PDF, 105 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.