Provider Central
Home
Contacts & Sites
Provider Directory
Review your directory information every 90 days.
Login
Log in for full access to: Time-sensitive news, fee schedules,
eTools for administrative transactions, and more.
Register
Search
Office Resources
Billing & Reimbursement
Log in for more
Billing Guidelines & Resources
CDT Dental Procedure Code Lookup
Claim Submission
Coordination of Benefits
< %>
Enrollment
Log in for more
Become a Blue Cross Provider
Contracting Applications
Credentialing & Recredentialing
Privileging
Maintaining & Changing Status
< %>
Policies & Guidelines
Log in for more
Referrals
Reviews & Appeals
< %>
Training & Events
Log in for more
Training & Events
FAQs
< %>
Clinical Resources
Clinical Criteria & Guidelines
Log in for more
Clinical Criteria Overview
InterQual Criteria
Medical Policies
< %>
Prior Authorization
Log in for more
Prior Auth Overview
Cancer Care
Chiropractic Services
Dental
Genetic Testing
High-tech Radiology
Outpatient Rehabilitation Therapy
Sleep Management
< %>
Clinical Programs & Information
Log in for more
Health Management Programs
Mental Health
Oral & Overall Health
Treatment Resources
< %>
News
Log in for more
Current News
Archived News
Patient Resources
Sites of Care
Log in for more
Telehealth
After Hours Support
Lower-cost Service Options
< %>
Tools & Resources
Log in for more
Practice-related Materials
Preventive & Chronic Care Reminders
< %>
Plans & Products
Log in for more
Product Overview
Plan Design Features
BlueCard & Out-of-Area Programs
Find a Doctor & Estimate Costs
< %>
Pharmacy
Formularies
Log in for more
Medication Lookup
< %>
Ordering Medications
Log in for more
ePrescribing
Generic Medications
Home Infusion Therapy
Mail Service Pharmacy
Medications You Administer
Specialty Pharmacy
Vaccines
< %>
Requirements & Policies
Log in for more
Non-covered Medications
OTC Benefit Exclusions
Prior Authorization
< %>
Quality & Performance
Quality Indicators
Log in for more
Blue Distinction
CMS Stars
Experience & Outcomes Surveys
HEDIS
Risk Adjustment Documentation & Coding
< %>
Performance Programs
Log in for more
Value-Based Contracts
< %>
Health Equity
Log in for more
Health Equity Overview
Affirming Blue Partnerships
Cultural Competency
< %>
eTools
Log in for more
Authorization Manager
Authorization Quick Lookup
Carelon
Chiro Authorizations
Clear Claim Connection
ConnectCenter
Dental Connect
Direct Connection
Payspan
Pre-service review for BlueCard members
TransactRx
Forms
Log in for more
Forms Library
Z6_6I8CHJ42N839B0QJ6RDKOG00M7
{}
Z7_6I8CHJ42N839B0QJ6RDKOG00E7
Web Content Viewer
Update: UMass Memorial Health Remains In-Network
Network update details