Provider Overview

Our Philosophy

At BCBSAZ Health Choice Pathway, we are committed to a collaborative approach with physicians, hospitals, and all other providers in the medical communities we serve.

Our team brings an open vision to Arizona. We believe that those who provide care should be the leaders in creating and constructing new, better, and less invasive mechanisms for the delivery of the care they provide. We are provider-owned and we understand both the rewards and difficulties of managed care and health plan/provider relationships.

We believe our members deserve the highest quality medical care while being treated with both compassion and respect. Assisting you so that you can devote your time to providing quality patient care is one of our highest priorities. Our commitment to you is to support the doctor-patient relationship by streamlining the delivery of care.

What We Offer Our Physician Network

BCBSAZ Health Choice Pathway brings the expertise and road maps necessary to understand, participate in and maximize the value of the sweeping changes affecting the delivery of health care.

We offer real-time tools, technology and up-to-date information to our physicians and providers. We will assist and offer guidance to physicians and hospitals for the purpose of building partnerships, patient-centered medical homes and other entities that will maximize quality and reward performance.

BCBSAZ Health Choice Pathway Provider Escalation

BCBSAZ Health Choice Pathway is committed to ensuring that you have an open line of communication with us at all times. Should you ever feel the need to escalate an issue, your Provider Representative’s supervisor is:

Jadelyn Fields
Network Services Provider Manager and Educator
Jadelyn.Fields@azblue.com
480-760-4593

To see the updated contact information, view the Notice Regarding Paths for Provider Escalation at Health Choice
(Updated - 10/12/2023 02:26 PM)

How to join BCBSAZ Health Choice Pathway

Becoming a contracted provider with BCBSAZ Health Choice Pathway is easy!

AzAHP – Practitioner Practice Change Form
AzAHP – Credentialing Portal FAQs
AzAHP – Credentialing Portal How To
Network Participation Instructions
Request for Participation – Update Provider Information Form
Electronic Credentialing – AzAHP Practitioner Data Form
Request for Participation – AzAHP Organizational Data Form
Non Delegated Group Provider Roster
Delegated Group Provider Roster
Credentialing Portal How To
Credentialing Portal FAQs

 

Once the Request for Participation/Update Provider Information Form is received by the BCBSAZ Health Choice Pathway Network Services Department, we will evaluate and compare our membership needs to current network availability, along with several other criteria, which include, but are not limited to: board certification, languages spoken and office locations.

Once the previous items have been reviewed, the request moves to the BCBSAZ Health Choice Pathway Contracting Committee for review. If approved, the Network Services Department will contact you to initiate the Contracting and Credentialing process. BCBSAZ Health Choice Pathway credentials providers according to nationally recognized standards that serve as the model for minimum credentialing requirements. We do not discriminate against age, color, creed, disability, national origin, race, religion, sex, or sexual orientation.
Credentialing generally takes about 60 days from our receipt of a complete credentialing application and up-to-date attachments.

For additional information contact BCBSAZ Health Choice Pathway Network Services Department at 1-800-656-8991.

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© BCBSAZ Health Choice Pathway

BCBSAZ Health Choice Pathway (HMO D-SNP) is a Health Plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in BCBSAZ Health Choice Pathway (HMO D-SNP) depends on contract renewal. BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross® Blue Shield® of Arizona.

Member Services can be reached at 1-800-656-8991, TTY 711, 8 a.m. to 8 p.m., 7 days a week. Member Services also has free language interpreter services available for non-English speakers.

Every year, Medicare evaluates plans based on a 5-star rating system.

H5587_D40881PY25_M Last Updated: 10/1/24