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Tools for Medical Providers
Advanced Health Information Network (AHIN): Determine eligibility, check claim status, correct errant claims and submit new claims. View demo and Enrollment Information
BlueCard® 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): In an effort to reduce the number of claims delayed for the purpose of investigating for other insurance, a COB questionnaire is available for members to provide other insurance coverage information. Please print, complete then mail the COB form to us in order to update your records and prevent claims from being delayed for COB information.
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
Provider Participation Information
Network Participation Guidelines
Provider Directory
Pharmacy Benefits
Pharmacy Benefits
    Standard Formulary:
        Three-Tier Formulary (2871 KB PDF)
    Essential Care Formulary:
        Commonly Prescribed Drugs (45 KB PDF)
Service Center
 Dental Claims filed before January 1, 2008
 Dental Claims filed after January 1, 2008
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Frequently Asked Questions
My BlueLine: Interactive voice response telephone system.
Network Development Representatives


 
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