InterQual® – Access most of our criteria through the secure provider portal at “Practice Management > Clinical Criteria > BCBSAZ Members-InterQual® search.” Or call the number on the back of the member ID card.
eviCore clinical guidelines for certain specialty services and drugs – Access our eviCore resource page
Chiropractic clinical practice guidelines – Access the American Specialty Health (ASH) provider resource page
*Note: The Northwest Arizona Employee Benefit Trust (NAEBT) group contracts directly with American Health Group (AHG) for precertification services, including medical policy, for their members (ID prefix NBT). Call AHG at 1 (800) 847-7605.
BlueCard (Out-of-Area) Members – Access information through the secure provider portal at “Practice Management > Clinical Criteria > BlueCard (Out of-Area) Members"
CHS Group Members – Contact the group’s TPA (listed on the back of the member ID card)
FEP Members – Go to FEPblue.org > Policies & Guidelines
is a registered trademark of Change Healthcare LLC and/or one of its subsidiaries.
eviCore is a separate, independent company that offers precertification services to BCBSAZ members and providers.
BCBSAZ contracts with ASH, a separate, independent company, to provide the chiropractic network, covered chiropractic services, and related claim processing and appeal/grievance resolution.
AHG is an independent company contracted directly with NAEBT. They provide and are solely responsible for precertification services (including medical policy) for NAEBT members. AHG does not provide BCBSAZ products or services.