Forms & publications for healthcare providers

Find documents including forms, provider publications, how-to-guides and e-commerce specifications. 

Provider demographic updates and contracting forms

Prior authorization

Product/network guides

 

Select “Date” or “Name” below to sort.

Date Name
05/12/2021 QP41-21 Commercial and MHCP Pharmacy Benefit Exclusion for Qutenza®
05/03/2021 P23-21 2021 Renewal Changes Summary for Blue Plus Referral Health Professional Providers
05/03/2021 P31-21 eviCore Healthcare Specialty Utilization Management (UM) Program – Laboratory Management Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers
05/03/2021 P20-21 Removal of Four Medicare Platinum Blue Prior Authorization Requirements — Effective June 1, 2021
05/03/2021 P22-21 Updated Minnesota Health Care Programs and Minnesota Senior Health Options (MSHO) Prior Authorization and Medical Policy Requirements
05/03/2021 P21-21 RAP Claims Required for Home Care Claims Effective July 1, 2021
05/03/2021 P24-21 2021 Renewal Changes Summary for Aware Professional Providers
05/03/2021 P30-21 eviCore Healthcare Specialty Utilization Management (UM) Program - Cardiology and Radiology Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers
05/03/2021 P28-21 Updated Prior Authorization Requirements for Psychological and Neuropsychological Testing for Commercial and Medicare Advantage Products
05/03/2021 P32-21 eviCore Healthcare Specialty Utilization Management (UM) Program – Musculoskeletal Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers

To open or fill in PDF forms, you'll need Adobe Acrobat Reader. Having trouble opening PDFs? See tips from Adobe.