A big part of helping patients succeed in taking ownership of their health is their relationship with you as their healthcare provider. Our Healthy You! benefit helps our members work with you to find their health status and learn what lifestyle changes they need to make and what other treatment they may need.
To help you file claims regarding Healthy You!, we've published a library of Healthy You! procedure and diagnosis codes. Click here to download the Healthy You! codes. You also can learn more about the Healthy You! benefit.
Because electronic filing of claims is so important to provide efficient service to you and your patients, we have included Electronic Claims Filing documents on our Electronic Solutions page. Please review these documents to learn about setting up electronic submission, resolving common errors and claim reject reasons.
To inform us about changes in provider information, download the applicable editable PDF form below:
Provider Administration Update Form - Professional
Provider Administration Update Form - Institutional Ancillary
Out of Area and Non-Network Provider Prior Authorization Process Links
The links below will take you directly to the Online Prior Authorization submission process.
If you are a Mississippi Network Provider, you should submit your Prior Authorization requests through our secure myBlue Provider website.
Submit an Outpatient and Professional Services Authorization Request
Submit a Mental Health and Substance Abuse Prior Approval Form
Submit a Prescription Drug Prior Authorization Request.
Submit a Prescription Drug Benefit Appeal Form
Submit a Home Infusion Therapy Request Form
Submit a Home Health & Hospice Authorization Request Form
Submit an Inpatient Precertification Request Form
Submit Continued Stay and Discharge Request Form
Submit a Transplant Prior Authorization Request
Forms to Download (PDF format)
The forms below are all PDF documents. Simply click on the form name to open them.
Durable Medical Equipment Certification Form
Non-Network Provider Written Direction of Payment Form
Coordination of Benefits Questionnaire
Provider Remote System Access Agreement
BCBSMS Electronic Submission of Claims Agreement
Pharmacy System Access Agreement