Patient Care Overview
We have collected resources to support care for members in our network. Here, you will find behavioral health services, maternal child services, health education resources, and Condition Care program support.
Behavioral Health
Healthy Blue behavioral health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, other mental health providers, and employee assistance health care professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.
Health Education Resources
We advocate a community approach to health education and outreach activities and have a proven record of collaborating with community and faith-based organizations, advocacy groups, and other community resources.
Maternal Child Services
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our The New Baby, New LifeSM, a comprehensive case management and care coordination program.
Condition Care
Our Condition Care (CNDC) program is based on a system of coordinated care management interventions and communications designed to assist physicians and other providers in managing members with chronic conditions.
Provider Tools & Resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Precertification Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Eligibility Overview
- Provider Manual and Guides
- Provider Search Tool
- Forms
- Training Academy
- Electronic Data Interchange (EDI)
- Quality of Care Incident Form