BlueCard® Resources

  • The BlueCard® Program Provider Manual 

    This manual provides detailed information about the BlueCard program, including:

    • Identifying members
    • Verifying eligibility
    • Obtaining pre-certifications/pre-authorizations
    • Filing claims
    • Contact information

    Premera Reference Manual - BlueCard/NASCO Chapter 

    This chapter of the Premera Reference Manual highlights the BlueCard process for providers in contiguous counties in Oregon and Idaho and the National Account Service Company (NASCO) program.


    Alpha Plan Prefix List 

    This list includes common alpha plan prefixes and Blue Plans so that you know where to submit your claims.


    Medical Policy and Pre-authorization Information for Out-of-Area Members 

    View medical policy or general pre-certification/pre-authorization information for out-of-area Blue Plans.


    BlueCard Eligibility, Benefits and Claim Status (Blue Exchange)

    To verify eligibility and benefits for BlueCard members, click on the BlueExchange box in the Eligibility and Benefits Tool (see the screen shot below). To search, you’ll need the member’s alpha prefix, member ID, and date of birth or first and last name.

    eligibility-benefits-search 

    To verify claim status for BlueCard members, click on the BlueExchange option in the Claims and Payments Tool. For claim status, you'll need the member’s alpha prefix, member ID, first and last name, gender, date of birth, and provider name to search.

    claims-payment-search