Arkansas Blue Cross and Blue Shield
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Tools for Medical Providers
Advanced Health Information Network (AHIN): Determine eligibility, check claim status, correct errant claims and submit new claims. View demo and enrollment information.
BlueCard® Guide
BlueCard News
Coverage Policy
Electronic Data Interchange (EDI): Resource for the Health Insurance Portability and Accountability Act (HIPAA) requirements and testing.
Forms for Providers
HealthConnect Blue: Health information and interactive health coaching.
Other Insurance/Coordination of Benefits (COB) (585 KB PDF): We want to pay your eligible claims as fast as possible, so please fill out this form to let us know what other insurance you may have.
Prior Authorization Information for Radiological Services
Provider Manual - Arkansas Blue Cross and Blue Shield: Policies and procedures to assist providers in filing claims, referral requests and other services.
Provider Manual - Medi-Pak Advantage: Policies and procedures to assist providers in filing claims, referral requests and other services.
Providers' News: Quarterly publication.

Tools for Dental Providers
Why being Blue is Good for You (3382 KB PDF)
Authorization Form for Clinic/Group Billing (56 KB PDF): Use for notification that a practitioner is joining a clinic or group.
Provider Change of Data Form (209 KB PDF): Use to report a change of address or other data. Completion of this form DOES NOT create any network participation.
Termination Form for Clinic/Group Billing (100 KB PDF): Use for notification that a practitioner is leaving a clinic.
Member Dental Claim Form (622 KB PDF)
Accident Form for Dental Injury (39 KB PDF)
Claims and Benefits Information
Dental Bulletin
Dental Network Development Representatives
Provider Participation Information
Blue Distinction Centers
Medi-Pak® Advantage PFFS Information
Medi-Pak® Advantage Terms and Conditions: Information regarding Medi-Pak® Advantage Terms and Conditions.
Network Participation Guidelines
Provider Directory

Pharmacy Benefits
Medi-Pak Rx Information
Pharmacy Benefits

Service Center
Contact Us
Frequently Asked Questions
My BlueLine: Interactive voice response telephone system.
Network Development Representatives


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Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue
Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.
Copyright © 2001-2010 Arkansas Blue Cross and Blue Shield

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