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Resources & Tools

Caring for our members is your top priority and we are committed to helping you easily access the resources and tools you need. Please use the menu to find forms, manuals, policies and the latest information to help you provide the best care possible.

Health Care Reform
This federal law changes the way health insurance is offered, to whom it is offered, what is included in health insurance coverage and how it is purchased. Find out how you and your patients can prepare for these changes.

Provider Bulletin
Blue Cross of Northeastern Pennsylvania publishes a monthly Provider Bulletin newsletter. The newsletter features updates and the latest information available to you.

PCP Billable Lists
Find necessary billing information, important to you.

Reference Material
Please use these reference materials to access the codes, precertification, manuals and forms you are looking for.

NaviNet Blue Alerts
Providers with NaviNet accessibility can check here for important alerts and updates.

BlueCard
Learn more about your out-of-area members who receive care at your facility.

BCNEPA NIA Radiology Management Program
Blue Cross of Northeastern Pennsylvania (BCNEPA) has entered into an agreement with National Imaging Associates, Inc.* (NIA), an affiliate of Magellan Health Services, to implement a radiology benefit management program.

Quality Incentive Program (QIP)
Information on Blue Cross of Northeastern Pennsylvania provider Quality Incentive Program.

BCNEPA Provider Webinar- 12/11/2013
PowerPoint slides from the 12/11/13 webinar.