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For Health Professionals

General Resources

The cornerstone of our partnership with doctors, hospitals and facilities has been a commitment towards communication. These general resources will help you learn more about Capital BlueCross and the high regard we hold for our Provider community.


Resources for Providers

Our Philosophy
Read about Capital BlueCross’ commitment to our community, members and valued health care professionals.

Search Our Network (Find a Provider)
Search our extensive network of participating providers.

Physicians - Update Your Information
Has any of your practice information changed? If so, update it here.

Electronic Funds Transfer
Learn about electronic payments that are transferred directly into a designated account.

Provider Automation
Learn more about our variety of electronic and automation options designed to simplify interaction with the provider community.

National Provider Identifier (NPI)
On May 23, 2007, NPIs will replace all other provider identifiers currently in use on standard electronic health care transactions. Learn more about NPI here.

Capital BlueCross Partners
Find more information on the partners who do business with Capital: CVS Caremark, and NVA.

Join Our Network
Not a Capital BlueCross participating Provider? Find out how to become part of our team.

Medicare Advantage PFFS
The Blue Cross Blue Shield Association (BCBSA) Web site offers easy access to the Terms and Conditions for PFFS products offered by Blue Plans that are part of the BCBSA.

Out of Area Medical Policy/Pre-Auth/Pre-Cert Search
The Blue Cross Blue Shield Association (BCBSA) Out of Area Medical Policy and Pre-Certification/Pre-Authorization Router.

Pennsylvania Statewide Immunization Information System
Learn about the Pennsylvania Statewide Immunization Information System.