Provider Manual

The provider manual provides important information about Blue Cross Blue Shield of Arizona Health Choice Pathway.


Chapter 1	Introduction to Blue Cross Blue Shield Arizona Health Choice Pathway Exhibit 1-1 Provider Escalation Notice
Chapter 2	Member Services Exhibit 2.1 Member Dual ID Card Exhibit 2.2 Medicare ID Card
Chapter 3	Provider Responsibility
Chapter 4	Cultural Competency
Chapter 5	Quality Management Exhibit 5-1 Care Management Referral Form
Chapter 6	Medical Authorizations and Notifications Exhibit 16.10 Maternal Risk Assessment Form Exhibit 6-2 Medical Services and Behavioral Prior Authorization Form Provider Office Lab Testing (POLT) List
Chapter 7	Inpatient & Outpatient Hospital Care
Chapter 8	Coordination of Benefits or Other Insurance Liability
Chapter 9	Grievance, Appeals, Claim Resubmission and Reconsiderations
Chapter 10	Drug Formulary Exhibit 17-1 Pharmacy Medication Prior Authorization Form
Chapter 11	Transplant Services
Chapter 12	Covered Benefits Exhibit 12-1 2025 – 2026 Supplemental Benefits Comparison Chart Exhibit 12-2 CPT and CDT Codes for Supplemental Benefits
Chapter 13	Care Management