Providers

Providers

BlueAccess

  • View eligibility and claims inquiry for BlueCare
  • FEP—Check claims status, coverage and eligibility.
  • PCP Membership Rosters—Access your PCP membership rosters for BlueCare, TennCareSelect, and BPN lines of business.
  • Practitioner Practice Pattern Analysis—See your PPAs.
  • Clear Claim Connection —Code auditing interactive tool for BlueCare/TennCareSelect.
  • Remittance Advice—View and/or print your Remittance Advice.
  • Shared Health—Allows multiple providers treating the same patient to view that patient's diagnoses, procedures, immunizations, and prescriptions at the point of care.

Find Out More find out more
TENNderCare / EPSDT

TENNderCare is a program for BlueCare and TennCareSelect members under the age of 21. The program provides free Early Periodic Screening, Diagnosis and Treatment (EPSDT) services. Every child under the age of 21 is eligible for TENNderCare services and should receive checkups, even if there is no apparent health problem.

Find Out More find out more

The documents below are in Adobe Acrobat format off-site link.
You will need Adobe Acrobat Reader for viewing and printing.

Provider Manual

The BlueCare Provider Administration Manual contains comprehensive information regarding BlueCare® operating policies and procedures. The information contained in the manual applies to Providers who care for BlueCare and/or TennCareSelect Members.

Find Out More find out more
CareSmart Disease Management Programs

CareSmart Disease Management Programs partner with providers to improve the health and quality of life for members with chronic disease and illness. The programs emphasize the importance of primary care provider collaboration and involvement.

Find Out More find out more
CaringStart Maternity Management Program

The CaringStart Maternity Management program partners with providers to improve the health and birth outcomes of our pregnant members.

Find Out More find out more
Amended and Restated Contractor Risk Agreement

Find Out More find out more