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Utilization Management Resources

Care Management Contact Information

High Tech Imaging Program

Utilization Management Guidelines (UMGs)

Commercial Prior Authorization Requirements

Musculoskeletal Program

ProgenyHealth (NICU Management Program) contact information: (610) 832-2001 or (888) 832-2006

How the Health Insurance Marketplace May Impact You

You already help your patients improve their health. Now you can help connect them to the Health Insurance Marketplace.

Find out more about the Marketplace

Blue Core System

Blue CORE System

BlueCross BlueShield of Tennessee's CAQH/CORE certified real-time benefits, eligibility and claim status system.

Learn More

Are You a Provider Needing to Make a Referral?

Use our directory to find providers and make referrals.

Use our provider referral directory.