Providers

As our partners in health, we want to give you information you need to help your patients.

Alerts and Updates

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

Provider Academy

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

Claim Support

Learn how to submit and check claim status.


NaviNet®: Quick Access

Quick access to claims, eligibility, authorizations and more. 

Policies and Procedures

Access the dental, medical and behavioral policies and procedures manuals.

Preauthorization

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

Appeals

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

Find a Form

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

Credentialing

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

CAQH Provider Data Portal

Learn how to update your provider directory information in CAQH

Medicare Advantage

Quick access to Medicare Advantage policies, FAQs and more.

Provider Resources

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

Provider Contacts

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

Pharmacy Management

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

Quality Guidelines

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