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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

View requirements for Local Plan and BlueCard Out-of-Area members.

Search our online provider directory when you need a doctor, hospital, or other health care provider.

Contact Us

PW_E202621
 
For the most direct point of contact we ask that you use the number provided to you on the back of the member’s ID cards. We do understand that those numbers may not always be at hand, so we have provided phone numbers below that will assist you. 
 
Individual Medicare Advantage Provider Phone Numbers  

HMO  
866-438-9968 
PPO  
866-438-9968 
 

Department 
Phone number 
Fax Number 
Email Address for Using Secure eReview 
GA SHBP MA Medical Management 
855-747-1131 
855-747-1132 
GA SHBP MA Specialty Pharmacy UM 
855-747-1131 
855-747-1132 
N/A 
GA SHBP MA Case Management 
855-747-1131 
855-747-1131 
N/A 
GA SHBP MA Customer Service 
TBA 
N/A 
N/A 
GA SHBP MA Transplant 
855-641-4862 
TBA 
GA SHBP MA Behavioral Health 
855-747-1131 
TBA 
N/A 
AIM MA 
855-747-1131 
N/A 
N/A 
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.