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Advanced Health Information Network (AHIN)
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Determine eligibility, check claim status, correct errant claims and submit new claims. View
demo and Enrollment Information
BlueCard
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Guide
BlueCard News
Coverage Policy
Electronic Data Interchange (EDI)
:
Resource for the Health Insurance Portability and Accountability Act (HIPAA) requirements and testing.
Forms for Providers
HealthConnect Blue
:
Health information and interactive health coaching.
Medical benefits covered by your patient's health plan
Other Insurance/Coordination of Benefits (COB)
(40 KB PDF)
:
We want to pay your eligible claims as fast as possible, so please fill out this form to let us know what other insurance you may have.
Prior Authorization Information for Radiological Services
Provider Manual
Providers' News
: Quarterly publication.
Referral Reminder
:
Forms for referral to specialists.
Sample ID Card for HMO Arkansas
Authorization Form for Clinic/Group Billing
(56 KB PDF): Use for notification that a practitioner is joining a clinic or group.
Provider Change of Data Form
(209 KB PDF): Use to report a change of address or other data. Completion of this form DOES NOT create any network participation.
Termination Form for Clinic/Group Billing
(100 KB PDF): Use for notification that a practitioner is leaving a clinic.
Accident Form for Dental Injury
(61 KB PDF)
Claims and Benefits Information
Dental Bulletin
Dental Network Development Representatives
Blue Distinction Centers
Network Participation Guidelines
Provider Directory
Pharmacy Benefits
Standard Formulary
:
Three-Tier Formulary
Essential Care Formulary
:
Commonly Prescribed Drugs
(45 KB PDF)
Contact Us
Frequently Asked Questions
My BlueLine
:
Interactive voice response telephone system.
Network Development Representatives
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