Information to help you understand and administer benefits.
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 Programs
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.
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