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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  
855-690-7797 
LPPO 
866-438-9968 
 
SHBP Medicare Advantage Provider Customer Service 
Phone: 855-322-7062  
8:00 a.m.-8:00 p.m. ET Mon-Fri 
 
SHBP Benefits, Claims & Appeal Status 
Phone: 855-322-7062 
Transplant: 855-668-6442 
Behavioral Health:855-322-7062 
 
SHBP Medicare Advantage Related Claims or Correspondence Should be Mailed To: 
Blue Cross and Blue Shield of Georgia 
P.O. Box 105370  
Atlanta, GA 30348-5370  
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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.