Providers

Stay up-to-date with the latest updates for health care professionals.

Quick access to Medicare Advantage policies, FAQs and more.

Visit our Provider Academy for eLearning videos, answers to frequently asked questions and more.

Learn how to submit and check claim status.

Quick access to claims, eligibility, authorizations and more. 

Access the dental, medical and behavioral provider procedures manuals.

Determine what needs a preauthorization and how to submit the request.

Review information on BCBSNE's appeals process and find answers to frequently asked questions.

Access forms for change of address, EDI, utilization management and more.

Learn how you can be a credentialed health care professional with us.

Learn how to update your provider directory information in CAQH

Quick tips and resources, including legislative updates, to assist you as you care for our members.

Get in touch with your provider executive to help answer questions.

Review the drug formulary as well as the policies and forms for pharmacy.

Download quality guidelines for various conditions and learn about HEDIS®.