Access our procedure manuals and benefit guidelines.
Find operating guidelines for clinical practices, hospitals, preventive health guidelines and procedures for continuing network participation.
Download and print commonly requested prior authorization forms for commercial and FEP procedures, health plans, injectable drugs (office administered and home self-administered), and oral/topical drugs, procedures as well as forms you may need to submit your claims or enroll into EDI.
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.
Find information to help assist your patients, including educational materials, language assistance resources and resources for the disabled, preventive health guidelines and more. Get images of ID cards by plan type, and information about member rights and responsibilities.
Also, find information about BlueCard program and tools, which will help you serve your patients who are out-of-state Blue plan members, and submit claims for your services.
We welcome physicians and other healthcare professionals. Learn about joining our network, locate required applications, request forms, and credentialing information by specialty.
Learn about healthcare reform, find contact details, and access webinars and other important information.
Provider Connection reference guide (PDF, 2.2 MB)
To quickly and easily find out if you, the provider, or a provider referral, participate in the member's plan network*, either log in or register for Provider Connection.
*Blue Shield of California member plans only
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If you don't have a Provider Connection account, you will need to register before logging in.Register now