Utilization Management
Utilization management review requirements and recommendations are in place to help ensure our members get the right care, at the right time, in the right setting.
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Keep your information up to date by reporting changes in your address, telephone number, tax ID number and more. Provide your email address to get our Blue Review newsletter electronically!
National Drug Codes (NDCs): Billing Resources
Contracted providers may visit our secure site for:
- NDC Units Calculator Tool
- NDC Reimbursement Information
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Self-service through Availity
Use the Availity provider portal to gain access to tools such as iEXCHANGE, Electronic Refund Management, Claim Research Tool.
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Resources
Electronic Commerce
Improve operational efficiency and turnaround time on claims by using electronic transactions for billing, payments, eligibility, and claim status.
Quick Reference Links
Bookmark the Quick Reference Links page to have your most-needed resources right at your fingertips.