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Policies & GuidelinesInformation to help you understand and administer benefits
Medical PolicyUse this online searchable database to read Independence Blue Cross (IBC) medical and claim payment policies.
Pharmacy PolicyReview current IBC pharmacy policies.
Clinical Practice GuidelinesDownload guidelines that outline generally accepted minimum standards of care. Adherence to these standards may lead to improved patient outcomes.
Preapproval/Precertification for ServicesLearn what services require preapproval/precertification from IBC prior to being performed.
Medical Policy/Precertification InquiryUse this electronic form to look up medical policy or preapproval/precertification information for out-of-area Blue plan members.
Pre-Service Review for Out-of-Area MembersUse the NaviNet® web portal to request electronic pre-service reviews for out-of-area members by accessing the provider portal of the member’s Home Plan.