BCBSAZ Medical Coverage Guidelines (MCGs) are developed and/or maintained as needed. New and revised guidelines are typically posted online within 10 business days of the effective date.

In addition to these MCGs, Change Healthcare InterQual® criteria may apply for certain services such as inpatient procedures, inpatient admissions, and extended active rehabilitation.

For BCBSAZ members with the eviCore phone number on the back of the member ID card, visit our eviCore resource page for applicable clinical guidelines.

For BCBSAZ members with chiropractic benefits, please visit the American Specialty Health (ASH) provider resource page for clinical practice guidelines.

BCBSAZ Medical Coverage Guidelines Search:

eviCore is a separate independent company that offers precertification services to BCBSAZ members and providers