provider connection
 

Forms

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.

You'll need Adobe Reader to view the forms.

In This Section

Patient Care Forms

Submit these forms when delivering patient care, including forms related to coordinating benefits, member grievances, and more.

Network and Procedure Forms

Download and submit Blue Shield forms that help you and your office meet credentialling requirements and other procedures.

ICE data reports

Medical groups, IPAs and hospitals can use this report data to satisfy requirements established by the Industry Collaboration Effort (ICE).