Code Lists (Standard list includes eviCore)*
Lookup Tool
Inpatient Admissions Quick Guide
Pharmacy
eviCore Guidelines
AZ Blue-Proprietary Policies
MCG Care Guidelines (Practice Management > Medical Policies > AZ Blue Plans-MCG Care Guidelines Search)
* To check if a member is delegated for eviCore, do an eligibility/benefits inquiry using the Health Benefit Plan Coverage service type.
Content restricted by user role or network status (or both).
ACA StandardHealth with Health Choice Plan – Prefix IAZ
Our 2024 PCP Coordinated Care HMO (PCP-HMO) plan is the ACA StandardHealth with Health Choice Plan. Please visit the Health Choice provider portal for:
Prior Authorization Requirements and Requests
Clinical Guidelines
BlueCard (Out-of-Area) Plans – From other Blue Cross Blue Shield companies
Use the BlueCard router tools (log in) for prior authorization and medical policy information. Simply enter the member’s ID prefix to be routed to the correct AZ Blue Plan. Or call the number on the back of the member ID card.
Federal Employee Program (FEP) Plans – Prefix R
