Clinical Practice Guidelines
Use standard clinical practices to help improve patient outcomes

Help to ensure your patients receive the best care by making certain you employ the latest standard practices in the prevention, diagnosis, and treatment of various medical conditions.

To make it easy for you to stay current with and adopt these nationally recognized standards of care, our Clinical Practice Guidelines1,2 gather dispersed information into a single comprehensive source for:

  • links to condition-based clinical practice guidelines;
  • guideline references;
  • names of and links to reports and data on which the guidelines are based.

PDF icon Independence Blue Cross Clinical Practice Guidelines.

PDF icon Independence Blue Cross Perinatal Guidelines.

In addition, we offer Member Wellness guidelines for children pdf icon Member Wellness Guidelines (Children), adults 18-64 pdf icon Member Wellness Guidelines (18-64), and seniors 65 and older pdf icon Member Wellness Guidelines (65+) that provide members with an outline of evidenced-based wellness recommendations for the average-risk person. These recommendations are not a statement of benefits and some of these services may require cost sharing. Members are encouraged to review these recommendations with their health care provider to determine which screenings would be appropriate based on specific patient medical and psychosocial needs.

To request a copy of these guidelines by mail, please complete the online Office Administration/Patient Education Resources Order Form.

¹ These guidelines are not a statement of benefits. Benefits may vary based on state requirements, product line (HMO, PPO, etc.), contract, and/or employer group. Individual member coverage will need to be verified with Independence Blue Cross. For any additional questions, please contact Provider Services.

² Each guideline is based on nationally recognized standards and is reviewed by all of our Regional Clinical Quality Committees (which include input from network providers) and specialty advisory committees or consultants as required. These guidelines are then formally approved by the Independence Blue Cross Corporate Managed Care Quality Improvement Committee (MCQIC).

Important information about links to other sites