Use this online searchable database to read Independence Blue Cross medical and claim payment policies.
Download guidelines that outline generally accepted minimum standards of care. Adherence to these standards may lead to improved patient outcomes.
Learn what services require preapproval/precertification from Independence prior to being performed.
Learn how Independence reviews treatment regimens for certain specialty drugs to ensure they adhere to safe prescribing limits.
Find out how Independence reviews the requested treatment settings for certain specialty drugs that are eligible for coverage under the medical benefit.
Use this electronic form to look up medical policy or preapproval/precertification information for out-of-area Blue plan members.
Use PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal to request electronic pre-service reviews for out-of-area members by accessing the provider portal of the member’s Home Plan.
Learn more about the various drug formularies offered to Independence Blue Cross members, and search for covered drugs.
Read about our prior authorization requirements for certain covered drugs.
Find Independence Blue Cross pharmacy policies related to specific pharmaceutical agents.
Find out how your patients can get free blood glucose meters to help them manage diabetes.
Understand what constitutes a specialty medical benefit drug and view a complete list of those covered under the member’s medical benefit.
This program allows in-network providers to order select specialty medical benefit drugs for administration in the office.