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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.

HIPAA National Provider Identifier (NPI)

The HIPAA National Provider Identifier (NPI) Final Rule offers each physician, health care professional, and institution a unique identifier for all transactions related to the rendition of and payment for health care services. 
External Links  
Centers for Medicare & Medicaid Services (CMS)
National Plan and Provider Enumeration System (NPPES)
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