Provider Resources


Update your information

You’ve got a lot going on. Keep us in the loop with changes.

Provider organizational (acquisitions, mergers, etc.) changes

Capital Blue Cross contracted providers should communicate organizational (acquisitions, mergers, etc.) changes to Capital via notifications@capbluecross.com. Note: This email is not to be used for provider demographic changes.

Provider automation

Resources to make your transfers go even more smoothly.

Electronic funds transfer

Cut down on admin costs with secure electronic payments.

Partners

Meet our partners in health.

Mental health

Working with Carelon Behavioral Health to bring peace of mind to your patients.

Provider services

Stay up to date with the provider portal.

Condition management

Support for your patients’ chronic conditions.

Utilization management

Our utilization management staff is available Monday through Friday from 8:00 AM - 6:00 PM. If you leave a message outside of those hours, we'll return your call the next business day. Visit our medical policies for decision information. Visit preauthorization for member information. Or, call us about InterQual criteria documentation.

Contact utilization management at 800.471.2242.