Providers

For Providers Only

Full Width

Access the Provider Portal

Prior Authorization Request Form

Provider Change Form

Drug Coverage Determination Form

Waiver of Liability

BCBSAZ Code of Conduct

Medical Policies and Guidelines

For Non-Contracted Providers Only:

• Claim Appeal and Payment Dispute Processes – Non-Contracted Providers

Care Management Referral Form

 

Prior Authorization

 

Step Therapy

 

Formulary

 

Prior Authorization Requirements Code Lists

• BCBSAZ
• P3 Health Partners
• Arizona Priority Care (AZPC)