provider connection
 

Provider Manuals

Find benefit guidelines and procedure manuals for providers.

In This Section

HMO Benefit Guidelines

Get benefit details such as coverage criteria, copayments, benefit exclusions and limitations for IPAs, medical groups and their contracted providers.

HMO IPA/Medical Group Procedures Manual

Find policies and procedures for IPAs, medical groups and their contracted providers.

Hospital and Facility Guidelines

Find policies and procedures for network hospitals, ambulatory surgery centers, dialysis centers, and skilled nursing facilities.

Independent Physician and Provider Manual

Find policies and procedures for direct-contract Blue Shield network providers.

Medical Interface Manual

Learn about Blue Shield's Mental Health Service Administrator protocols, developed to facilitate coordinated medical and behavioral health care.