Earn Continuing Education Credit Through Maternal Health Webinars

The Morehouse School of Medicine Center for Maternal Health Equity is offering two courses that provide a continuing education unit at no cost to you. Learn how to register.

See Claims Reminders for Behavioral Health Services

Review guidance on submitting claims for services provided by trainees under supervision and out‑of‑network providers.

Watch for Digital Access to Prior Authorization Decision Letters via Availity^® Essentials

Beginning July 18, 2026, you’ll be able to view and securely download prior authorization decision letters through the Provider Correspondence Viewer within Payer Spaces.

Learn More About Alacura for Medical Transportation Management

See frequently asked questions about medical necessity reviews of air and ground medical transportation services for some commercial members.

Submit Documentation to Blue Distinction^® Centers for Transplants by Email or Fax

We’ve retired the mailing address for Blue Distinction Centers for Transplants. Learn how to submit documentation by email or fax, effective immediately.

See Prior Authorization Changes for Some Government Program Members

We’ve updated prior authorization requirements for certain government plans to reflect new, replaced or removed codes.

Ask Members To Complete a Depression Screening

Primary care providers can help our members by asking them to complete a screening and encouraging follow‑up care with behavioral health care providers when appropriate.

Avoid Imaging for Low Back Pain When Not Indicated

To support appropriate care for our members, we track the quality measure Use of Imaging Studies for Low Back Pain. Review tips and appropriateness criteria.

Explore Learning Opportunities

We offer free training for providers who participate in our networks. View and sign up for sessions, including a webinar on men’s mental health that offers continuing education credit.

Encourage Medicare Members To Respond to Health Outcomes Survey

The Centers for Medicare & Medicaid Services surveys a sample of our members to rate their care. Learn about survey topics our members may discuss with you.

Watch for Our Provider Availability and Access Survey

Your response helps ensure compliance with wait time standards for primary care, specialty and behavioral health services.

Provisional Credentialing Discontinued for Professional Providers

As of July 1, 2026, we’ve discontinued provisional credentialing for professional providers to streamline our credentialing processes.

We Invite Dental Providers Who Perform Medical Services To Join Our Networks

To help ensure our members have access to in‑network care, we’re expanding our network of dental providers who perform services covered by our members’ medical benefits.

Review Rights and Responsibilities

As a participating provider, you have certain rights and responsibilities that may affect your practice. Learn about your rights and responsibilities and those of our members.

Looking for Help?

Do you know the fastest way to get a response on prior authorizations? Are you aware of the latest pharmacy drug updates, or do you have a claims question? You can find many answers on our provider website, including:

• The latest updates

• Details about tools to streamline billing and processes

• Tips for newly contracted providers

• Quick reference links

Contact Your Provider Relations Representative

If you have a question and can’t find an answer, our provider relations representatives are here to help. Email us or call 800‑722‑3730 and select Option 2 for network.

Learn About Updates to Reimbursement Policies

We regularly add and modify reimbursement policies, formerly known as clinical payment and coding policies, as part of our ongoing policy review. See which policies were updated.

Review Active and Pending Medical Policies

Approved new or revised medical policies and their effective dates are usually posted on our website the first and 15th of each month. You can view all active and pending policies, as well as draft medical policies, and provide comments on draft policies. These policies may impact your reimbursement and your patients’ benefits.