Anthem Blue-Cross: J2F: Illinois: Blue-Cross Blue-Shield of Illinois: J2G: Illinois: Blue-Cross Blue-Shield of Illinois: J2H: New Hampshire: Anthem Blue-Cross Blue-Shield of New Hampshire: J2I-Unallocated/Not Assigned: J2J-Unallocated/Not Assigned: J2K: California: Anthem Blue-Cross: J2L: …Key Takeaways. Anthem health plans are not accessible to most U.S. citizens as the company serves only 14 states, whereas BCBS has a presence in all 50 states. In a 2023 …Medicare Advantage Plans (Medicare Part C) From Anthem. An Anthem Medicare Advantage plan can help you and your budget stay healthy. You’ll get doctor, hospital, and prescription drug coverage, plus a prepaid benefits card, 1 dental, vision, and hearing – all in one plan. A ZIP code helps us find plans in your area.BCBS Prefix List 2024 - Alpha. State Lookup. BCBS Company. TAA. Pennsylvania. Highmark Blue-Cross Blue-Shield of Pennsylvania. TAB. California. Anthem Blue-Cross.Blue Cross and Blue Shield of Illinois P.O. Box 3004 Naperville, IL 60566-9747. Claims Address: Blue Cross and Blue Shield of Illinois P.O. Box 805107 Chicago, IL 60680-4112. Human Resources Inquiries: 866-977-7378: Supplier Registration Blue Cross Community Health Plans BCCHP is a program developed and administered by BCBSIL to support delivery of integrated and quality managed care services to enrollees, such as seniors/persons with disabilities, families and children (including special needs children), and adults qualifying for the Illinois Department of Healthcare and ... Blue Cross and Blue Shield of Illinois (BCBSIL), is a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee ... Claims Submission. Filing your claims should be simple. That’s why Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. You can use Availity to submit and check the status of all your claims and much more. Let’s make healthy happen. Available for iOS and Android devices. Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Shop plans for Medicare, Medical, …Posted Jan. 11, 2021. Prior authorization to confirm medical necessity is required for certain services and benefit plans as part of our commitment to help ensure all Blue Cross and Blue Shield of Illinois (BCBSIL) members get the right care, at the right time, in the right setting. Welcome to the Blue Cross Blue Shield Association Job Center, where you can view our current job openings and apply for positions to join the team that supports the nation’s largest health care network, providing coverage to nearly one in three Americans. Current BCBSA employees: Please search opportunities and apply in Workday via the ... Dental Provider Resources | Anthem.com. Find information that’s tailored for you. Our resources vary by state. Choose your location to get started. Select a State. Important Notice: Provider EFT Enrollments—Federal Mandate & Other Enhancements. Our EFT system is now available. Read more in the …Anthem Blue-Cross: UTN: Illinois: Blue-Cross Blue-Shield of Illinois: UTO: California: Blue-Shield of California: UTP-Unallocated/Not Assigned: UTQ: Pennsylvania: Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania: UTR: Pennsylvania: Independence Blue-Cross of Philadelphia …Our team has reviewed the three best home warranty companies in Illinois. Keep reading for the companies with the best prices, plans and coverage. Expert Advice On Improving Your H...Provider Correspondence Viewer. Provider Correspondence Viewer (PCV) is an online application accessible through Availity ® Essentials that allows participating providers with Blue Cross and Blue Shield of Illinois (BCBSIL) to view, download and/or save specific documents related to the NPI and Tax ID associated with your Availity registration.Claims Submission. Filing your claims should be simple. That’s why Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. You can use Availity to submit and check the status of all your claims and much more. Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Shop plans for Medicare, Medical, Dental, Vision & Employers. Your health plan has a: $4,000 deductible. 25% coinsurance. Out-of-pocket maximum of $5,000. This means: You must pay $4,000 toward your medical costs before your plan begins to cover costs. After you pay the $4,000 deductible, your plan covers 75% of the costs, and you pay the other 25%. When you've paid $5,000 out of your pocket toward your ... Anthem Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. Learn about your Anthem Blue Cross Blue Shield over-the-counter (OTC) benefits card - how to activate, accessing …Welcome to the Blue Cross Blue Shield Association Job Center, where you can view our current job openings and apply for positions to join the team that supports the nation’s largest health care network, providing coverage to nearly one in three Americans. Current BCBSA employees: Please search opportunities and apply in Workday via the ... Welcome to the Blue Cross Blue Shield Association Job Center, where you can view our current job openings and apply for positions to join the team that supports the nation’s largest health care network, providing coverage to nearly one in three Americans. Current BCBSA employees: Please search opportunities and apply in Workday via the ... Member Resources. Log in to Blue Access for Members. Register for Blue Access for Members. Pay My Bill. Federal Employee Program (FEP) Here are the solutions, for fixing the most common errors members experience when trying to login to view their BCBSIL health care account. Save Time With Live Chat. Find the information you need about your health care benefits by chatting with an Anthem representative in real-time. Log in to Anthem.com or use the Sydney Health app to start a Live Chat. BCBS Prefix List 2024 - Alpha. State Lookup. BCBS Company. TAA. Pennsylvania. Highmark Blue-Cross Blue-Shield of Pennsylvania. TAB. California. Anthem Blue-Cross.There are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These documents are available to you as a reference when interpreting claim decisions.If you can’t find this number, you can also call 1-855-710-6984. Mail. Print and fill out the 1095-B Request Form, then mail it to: Blue Cross and Blue Shield of Illinois. c/o 1095-B Form Request. PO Box 660044. Dallas, TX 75266-0044. Once this form is received, your Form 1095-B will be mailed to your address on file within 30 days.Contact Anthem. We're here to help. Members, log in to find information specific to your plan or start a Live Chat. Live Chat for Members. Log in to your Anthem account to discuss your …We would like to show you a description here but the site won’t allow us.Medicare Advantage Plans (Medicare Part C) From Anthem. An Anthem Medicare Advantage plan can help you and your budget stay healthy. You’ll get doctor, hospital, and prescription drug coverage, plus a prepaid benefits card, 1 dental, vision, and hearing – all in one plan. A ZIP code helps us find plans in your area.Blue Cross and Blue Shield of Illinois (BCBSIL) contracts with physicians, facilities and other health care professionals to form our provider networks, which are essential for delivering quality, accessible and cost-effective health care services to our members. We welcome you to apply to join our provider networks. Five Easy Steps To Join! STEP 1 – … Get a free instant rate quote and apply online today for Illinois health insurance plans including individual and family health insurance, Medicare supplement, short term health insurance and health savings account (HSA) compatible plans at www.bcbsil.com. Blue Cross and Blue Shield companies in Illinois, Montana, New Mexico, Oklahoma and Texas offer access to Benefits Value Advisor. This live advocate helps individuals as they consider treatment options by easily enabling them to identify in-network providers and locate the best value through cost and …Celtic Thunder, the internationally renowned Irish music group, has captivated audiences around the world with their powerful performances and diverse range of songs. One of the de...Bus passes can be provided to get you to and from your doctor’s appointment. Call ModivCare at 1-877-831-3148 (TTY/TDD: 1-866-288-3133) at least two weeks before your appointment. Bus passes will be mailed to your home. For more information about transportation services, check your Member Handbook or visit the FAQs page.Blue Cross and Blue Shield of Illinois P.O. Box 650774 Dallas, TX 75265-0774. Be sure you follow all instructions shown on your bill. In-Person. After making your first payment, payments can be made with cash at ...Blue-Cross Blue-Shield of Illinois: R3G: Ohio: Anthem Blue-Cross Blue-Shield of Ohio: R3H: Georgia: Anthem Blue-Cross Blue-Shield of Georgia: R3I-Prefix Unallocated/Not Assigned: R3J: Texas: Blue-Cross Blue-Shield of Texas: R3K: Illinois: Blue-Cross Blue-Shield of Illinois: R3L: Ohio: Anthem Blue-Cross Blue-Shield of …Blue Cross Blue Shield offers enhanced coverage and service through its broader portfolio of international health insurance products to meet the unique needs of globally mobile individuals and businesses worldwide. International healthcare coverage is available for employers, individuals and students, providing peace of …Anthem Blue Cross and Blue Shield is a Qualified Health Plan that in certain geographic areas offer some health plans with a $0 premium option after subsidy is applied through the Health Insurance Marketplace or your state exchange. Anthem health plans with a $0 premium option are not available in all areas and eligibility … Claims Submission. Filing your claims should be simple. That’s why Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. You can use Availity to submit and check the status of all your claims and much more. Bus passes can be provided to get you to and from your doctor’s appointment. Call ModivCare at 1-877-831-3148 (TTY/TDD: 1-866-288-3133) at least two weeks before your appointment. Bus passes will be mailed to your home. For more information about transportation services, check your Member Handbook or visit the FAQs page.Blue Cross Blue Shield Federal Phone Number. BCBS Prefix List 2024 - Alpha. State Lookup. BCBS Company. MAA. South Dakota/Iowa. Wellmark Blue-Cross Blue-Shield. MAB. Florida.Blue Cross Blue Shield: 5.0 rating, 1.7M+ providers, all metal tiers. Positive experiences, higher complaints, ACA premiums. Bronze plan: $458 avg. cost, $7,173 ... Medical Management. If you have questions on a prior authorization request handled by BCBSIL, use our automated phone system to contact our Medical Management department. Commercial (non-HMO) – 800-572-3089. Government Programs – 877-774-8592 (MA PPO); 877-860-2837 (BCCHP); 877-723-7702 (MMAI) Like most states in the United States, the major industries in Illinois are service industries. Within the service industry, community, health care and personal services industries...Member Resources. Log in to Blue Access for Members. Register for Blue Access for Members. Pay My Bill. Federal Employee Program (FEP) Here are the solutions, for fixing the most common errors members experience when trying to login to view their BCBSIL health care account.Blue Cross Blue Shield Federal Phone Number. BCBS Prefix List 2024 - Alpha. State Lookup. BCBS Company. VAA. Colorado. Anthem Blue-Cross Blue-Shield of Colorado. VAB. Colorado.Revocable living trusts are governed by the state in which the trust creator -- known as a settlor or grantor -- resides. In Illinois, most of the laws governing revocable trusts a...Blue Cross Blue Shield Federal Phone Number. BCBS Prefix List 2024 - Alpha. State Lookup. BCBS Company. VAA. Colorado. Anthem Blue-Cross Blue-Shield of Colorado. VAB. Colorado.Go to Availity Portal and select Anthem from the payer spaces drop-down. Then select Chat with Payer and complete the pre-chat form to start your chat. By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative.Dental Provider Resources | Anthem.com. Find information that’s tailored for you. Our resources vary by state. Choose your location to get started. Select a State. Important Notice: Provider EFT Enrollments—Federal Mandate & Other Enhancements. Our EFT system is now available. Read more in the …Empire Blue-Cross Blue-Shield of New York. V2Y. New York. Empire Blue-Cross Blue-Shield of New York. V2Z. Georgia. Anthem Blue-Cross Blue-Shield of Georgia. V3A. Maryland/District of Columbia/Northern Virginia.Blue Cross/Blue Shield; Beech Street; Cigna; Corvel; Coventry; Fox Valley Medicine; Great-West Healthcare; Healthcare's Finest Network - HFN; HealthChoice Illinois Managed Medicaid (BCBS Community, Meridian) HMO Illinois; Humana; Kane County IPA; Medicare Part B; Medicare Advantage (BCBSPPO, AetnaPPO and HMO) MultiPlan; …When you look at your paycheck, you likely see less than you expected, especially if your wages are already low. That's because taxes are taken out of your earnings. This is for So...Bus passes can be provided to get you to and from your doctor’s appointment. Call ModivCare at 1-877-831-3148 (TTY/TDD: 1-866-288-3133) at least two weeks before your appointment. Bus passes will be mailed to your home. For more information about transportation services, check your Member Handbook or visit the FAQs page.Member Resources. Log in to Blue Access for Members. Register for Blue Access for Members. Pay My Bill. Federal Employee Program (FEP) Here are the solutions, for fixing the most common errors members experience when trying to login to view their BCBSIL health care account.22 Aug 2020 ... of an Association. Anthem is the Largest of all ... Illinois, Louisiana, New Mexico, Oklahoma ... Anthem Blue Cross Blue Shield Vs. Aetna: Who ...Anthem Blue-Cross Blue-Shield of Connecticut: X2D: Connecticut: Anthem Blue-Cross Blue-Shield of Connecticut: X2E: Connecticut: Anthem Blue-Cross Blue-Shield of Connecticut: X2F: California: Anthem Blue-Cross: X2G-Prefix Unallocated/Not Assigned: X2H: ... Illinois: Blue-Cross Blue-Shield of Illinois: X2S: …Blue Cross and Blue Shield of Illinois October 2022 Performance Drug List IV . Coverage considerations Most prescription drug benefit plans provide coverage for up to a 30- day supply of medication, with some exceptions. Your plan may also provide coverage for up to a 90- day supply of maintenance medicat ions. …Anthem Blue-Cross: S2V: Illinois: Blue-Cross Blue-Shield of Illinois: S2W: Illinois: Blue-Cross Blue-Shield of Illinois: S2X: Texas: Blue-Cross Blue-Shield of Texas: S2Y: Illinois: Blue-Cross Blue-Shield of Illinois: S2Z: Texas: Blue-Cross Blue-Shield of Texas: S3A: New York (Northeastern) Blue-Shield of Northeastern New York: …Want to manage your I-PASS toll pass for tolls in the State of Illinois? The Illinois Tollway website allows users to create accounts for convenient digital I-PASS management. This...Prescription Drug List. Our drug list and prescribing guidelines is a tool for the management of the quality and cost of drug therapy. The scope of these guidelines is limited to ambulatory drugs. Those concerned with the prescribing, dispensing, and reimbursement of medicines may refer to this service in choosing quality, cost-effective treatment.Anthem BCBS OTC 2022 in Healthy Benefits Plus 2023 (1000+) Price when purchased online. Blistex Medicated Lip Balm, 0.15 Ounce, Pack of 3 – Prevent Dryness & Chapping, SPF 15 Sun Protection. Add. Sponsored $ 3 94. current price $3.94. $1.31/ea. Blistex Medicated Lip Balm, 0.15 Ounce, Pack of 3 – Prevent …9 May 2023 ... Smith, of Chattanooga, had health insurance through his job with Blue Cross Blue Shield of Illinois, but the insurance company refused to pay ...Blue Cross Blue Shield of Illinois: UVT: Anthem BCBS of Virginia: UVU: Blue Cross Blue Shield of Alabama: UVV: Wellmark BCBS: UVW: Empire Blue Cross Blue Shield: UVX: CareFirst BCBS: UVY: Blue Cross of California: UVZ: Blue Cross Blue Shield of Texas: UWA: Blue Cross Blue Shield of Michigan: UWB: Anthem BCBS of …Understanding insurance coverage can be complex, so it is important to verify if our healthcare professionals and services are covered by your health insurance plan prior to scheduling your visit or procedure.The easiest way to verify your coverage is by either calling the number on your insurance card or confirming coverage through your … Credentialing Process. Additional Resources. CAQH Contact Information Help Desk. 888-599-1771. Online Application System URL. CAQH website. Help Desk Email Address. [email protected]. Help Desk Hours. Utilization management review requirements and recommendations are in place to help ensure our members get the right care, at the right time, in the right setting. Types of utilization management review that may be conducted before services are rendered include prior authorization, recommended clinical review (predetermination), and pre …Blue Cross and Blue Shield companies in Illinois, Montana, New Mexico, Oklahoma and Texas offer access to Benefits Value Advisor. This live advocate helps individuals as they consider treatment options by easily enabling them to identify in-network providers and locate the best value through cost and …Blue Cross Blue Shield of Illinois: ICC: Anthem BCBS of Colorado: ICD: CareFirst BCBS: ICE: CareFirst BCBS: ICF: CareFirst BCBS: ICG: Blue Cross Blue Shield of South Carolina: ICH: Anthem BCBS of Virginia: ICI: Blue Cross Blue Shield of South Carolina: ICJ: ... Anthem Blue Cross of California: Sep 2, 2020 Payer Goddess. …Empire Blue-Cross Blue-Shield of New York. V2Y. New York. Empire Blue-Cross Blue-Shield of New York. V2Z. Georgia. Anthem Blue-Cross Blue-Shield of Georgia. V3A. Maryland/District of Columbia/Northern Virginia.Blue Cross and Blue Shield of Illinois P.O. Box 650774 Dallas, TX 75265-0774. Be sure you follow all instructions shown on your bill. In-Person. After making your first payment, payments can be made with cash at ... Blue Cross Medicare Advantage SM – 877-774-8592. For out-of-state Blue Cross and Blue Shield members, call the BlueCard® Eligibility Line at 800-676-BLUE (2583) for eligibility and benefit verifications. Learn more about BlueCard. For Federal Employee Program® (FEP) members, eligibility and benefits can be obtained by calling 800-972-8382. Blue Cross and Blue Shield of Illinois (BCBSIL), is a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee ...When you look at your paycheck, you likely see less than you expected, especially if your wages are already low. That's because taxes are taken out of your earnings. This is for So...Online. Compare BCBSIL health plan options online. Agent. A licensed BCBSIL authorized health plan specialist can answer questions and help you with your 2024 health care coverage. Request a health plan specialist if you don’t have one. Phone. You can call 1-866-514-8044 to speak with a BCBSIL licensed health plan specialist.22 Aug 2020 ... of an Association. Anthem is the Largest of all ... Illinois, Louisiana, New Mexico, Oklahoma ... Anthem Blue Cross Blue Shield Vs. Aetna: Who ... Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Shop plans for Medicare, Medical, Dental, Vision & Employers. We have helped hundreds of Coverlipedema.com members with BCBS plans get fully covered for liposuction, any needed skin excisions, and even panniculectomy or abdominoplasty for lipedema, even when not explicitly covered in the BCBS plan’s lipedema coverage policy. Anthem Blue Cross Blue Shield, the largest BCBS insurer, … Stay on top of your health with Individual and Family health insurance plans designed to fit your budget. Anthem health plans include coverage for doctor visits, hospital care, and mental health benefits, plus: $0 virtual care, 24/7 †. $0 preventive care §. Prescription drug coverage, with some commonly-used drugs as low as $0 ¶. Blue Cross and Blue Shield of Illinois offers individual health plans for you and your family, Medicare and Medicaid plans for those who qualify and other health plan options to best fit … Blue Cross Blue Shield Association. / 41.8864516; -87.6239771. Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States -based federation with 34 independent and locally-operated BCBSA companies that provide health insurance in the United States to more than 115 million people as of 2022.
Anthem Blue-Cross: M9S: Illinois: Blue-Cross Blue-Shield of Illinois: M9T: Texas: Blue-Cross Blue-Shield of Texas: M9U: Georgia: Anthem Blue-Cross Blue-Shield of Georgia: M9V-Unallocated/Not Assigned: M9W: Virginia: Anthem Blue-Cross Blue-Shield of Virginia: M9X-Couple Health: M9Y-Couple Health: M9Z-Couple Health: …. Orange county bank
CO 19 Denial Code – This is a work-related injury/illness and thus the liability of the Worker’s Compensation Carrier. CO 20 and CO 21 Denial Code. CO 23 Denial Code – The impact of prior payer(s) adjudication including payments and/or adjustments. CO 26 CO 27 and CO 28 Denial Codes.Medical Benefits. TeamCare offers flexible plans and a full range of affordable medical benefits to our members and their families. Our extensive network of partners and providers make your medical and preventative care – including routine checkups and important screenings – a top priority. Explore Medical Benefits.If you bought a Blue Cross and Blue Shield of Illinois health plan, changes to your 2024 pharmacy benefit program may start on January 1, 2024.1. Check if any of these changes may impact you. You can also learn how to get the most of your pharmacy benefits. Be sure to check this page often for any changes to your drug …Providers contracted with Anthem Blue Cross and Blue Shield (Anthem) should utilize Availity’s Provider Demographic Management (PDM) application hosted on www.availity.com to request changes to existing practice information. ... Log in to the Availity Essentials and select Anthem from the payer spaces drop-down menu. Then, …There are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These documents are available to you as a reference when interpreting claim decisions.Blue Cross Blue Shield Federal Phone Number. BCBS Prefix List 2024 - Alpha. State Lookup. BCBS Company. HAA. New Jersey. Horizon Blue-Cross Blue-Shield of New Jersey. HAB. New Jersey.Appeal/Disputes. Form Title. Network (s) Expedited Pre-service Clinical Appeal Form. Commercial only. Medicaid Claims Inquiry or Dispute Request Form. Medicaid only (BCCHP and MMAI) Medicaid Service Authorization Dispute Resolution Request Form. Medicaid only (BCCHP and MMAI)Each Healthy Action will earn you a $25 award. You receive one reward per Healthy Action per year. The Healthy Activity Portal is a website owned and operated by HealthMine, Inc., an independent company that provides digital health and personal clinical engagement tools and services for Blue Cross and …This Pride Month may be the first in a while that you’ve celebrates outside of the comfort and relative isolation of home, and in case you’ve forgotten, music is pretty key to a go...Learn more about our secure member portal, make your first health plan payment and sign up for Auto Bill pay. Take full advantage of your Blue Cross and Blue Shield of Illinois (BCBSIL) …Know Your Health Plan's Network. Health plans like HMOs and PPOs use certain groups of doctors, hospitals and other health care professionals who provide a full range of covered health care services. These are called provider networks. When looking for a provider, it's important to know about your network and the choices you have.We have helped hundreds of Coverlipedema.com members with BCBS plans get fully covered for liposuction, any needed skin excisions, and even panniculectomy or abdominoplasty for lipedema, even when not explicitly covered in the BCBS plan’s lipedema coverage policy. Anthem Blue Cross Blue Shield, the largest BCBS insurer, …Utilization management review requirements and recommendations are in place to help ensure our members get the right care, at the right time, in the right setting. Types of utilization management review that may be conducted before services are rendered include prior authorization, recommended clinical review (predetermination), and pre … Prescription Drug List. Our drug list and prescribing guidelines is a tool for the management of the quality and cost of drug therapy. The scope of these guidelines is limited to ambulatory drugs. Those concerned with the prescribing, dispensing, and reimbursement of medicines may refer to this service in choosing quality, cost-effective treatment. Located in northwest Illinois, visitors to Galena enjoy eye-catching architecture and a deep history that could be why the city welcomes about a million of them a year. Galena is r...A Class 4 felony in Illinois is any felony that can be punished by at least one year in state prison but no more than three. It is the lowest level of felony in the state.If you have medical coverage, the following forms and documents are for you: Preferred Drug List (PDL) Mail Service Registration and Prescription Order Form. Member Handbook (includes document of coverage information) Over-the-Counter Benefits Catalog. Provider Directory (for all medical, dental and vision providers) We’re committed to maintaining an environment of Equal Opportunity and Affirmative Action. If you need accommodation to see the information provided on this web site, please call us at tel: 1-866-977-7378 . EEO AA Statement. Illinois Federal State Wage and Labor Laws. Federal Contractors. Provider Finder - Anthem is a tool that helps you find doctors, hospitals, pharmacies, and other health care providers that are part of your Anthem plan. You can search by location, specialty, name, or network. You can also compare costs and quality ratings for different providers. Provider Finder - Anthem makes it easy to find the best care for your needs. If you have medical coverage, the following forms and documents are for you: Preferred Drug List (PDL) Mail Service Registration and Prescription Order Form. Member Handbook (includes document of coverage information) Over-the-Counter Benefits Catalog. Provider Directory (for all medical, dental and vision providers).