InterQual® – Access BCBSAZ 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.
BCBSAZ/TPA Co-administered Group Plans – See the reference list for clinical criteria information.
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
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 healthcare is a separate, independent company that offers utilization management services to BCBSAZ members and providers. eviCore healthcare is a registered service mark of CareCore National, LLC.
BCBSAZ contracts with ASH, a separate, independent company, to provide the chiropractic network, covered chiropractic services, and related claim processing and appeal/grievance resolution.