Policies and guidelines
Use this online searchable database to read Independence Blue Cross medical and claim payment policies.
Clinical practice guidelines
Download guidelines that outline generally accepted minimum standards of care. Adherence to these standards may lead to improved patient outcomes.
Precertification and cost-share requirements
Learn what services require preapproval/precertification from Independence prior to being performed.
Dosage and Frequency Program
Learn how Independence reviews treatment regimens for certain specialty drugs to ensure they adhere to safe prescribing limits.
Most Cost-effective Setting Program
Find out how Independence reviews the requested treatment settings for certain specialty drugs that are eligible for coverage under the medical benefit.
Medical policy/precertification inquiry
Use this electronic form to look up medical policy or preapproval/precertification information for out-of-area Blue plan members.
Learn more about the various drug formularies offered to Independence Blue Cross members, and search for covered drugs.
Find Independence Blue Cross pharmacy policies related to specific pharmaceutical agents.
Blood glucose meter
Find out how your patients can get free blood glucose meters to help them manage diabetes.
Specialty medical drugs
Understand what constitutes a specialty medical benefit drug and view a complete list of those covered under the member’s medical benefit.
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