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Resources & Tools

Blue Cross of Northeastern Pennsylvania is now Highmark Blue Cross Blue Shield. Our members' health insurance plans will continue to be offered by Blue Cross of Northeastern Pennsylvania until they renew for 2016. This means our members’ coverage, benefits, network and out-of-pocket costs will stay the same for 2015. We know that 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 Bulletins
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, manuals and forms you are looking for.

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- 10/15/2014
PowerPoint slides from the 10/15/14 webinar.