provider connection
 

Guidelines and Resources

Blue Shield Guidelines and Resources

Provider Manuals

Access our reference section for provider, benefit and procedure manuals.

Guidelines and Standards

Review guidelines for hospitals and standards for HIPAA transactions, medical records and more.

In This Section

Forms

Download and print prior authorization forms for procedures and oral, topical and injectable drugs.

Drugs and Pharmacy

Search our drug formulary and find drug costs and generic alternatives. You can also use our mail service pharmacy and find prior authorization forms.

Guidelines and Standards

Review our operating guidelines for hospitals and clinical practices, as well as standards for HIPAA transactions, medical records and more.

Provider Manuals

Access our reference section for procedure manuals and benefit guidelines.

Patient Care Resources

Find information to help your members, such as language assistance resources, educational materials, member rights and responsibilities, and more.

For Prospective Providers

Learn about joining our provider network and find resources to apply. Continuing providers can also find re-credentialing applications here.

Manage Patient Reviews

Use the Patient Reviews tool to help improve service for your patients.

Health Care Reform for Providers

Get health care reform information for providers including provisions, timelines, and what you need to know.

Guidelines and Resources Contacts

See phone numbers, addresses, and more.

Manage Patient Reviews

Use patient reviews to help to help improve service for your patients.