start portlet menu bar end portlet menu bar

Documents & Forms

We want to make it easy to find important documents and forms. So we put them all in one place. If you have questions or need more information, please give us a call.

  • BlueCare and TennCareSelect
  • CoverKids
<   Back

BlueCare and TennCareSelect  
Includes documents and forms for Tenncare members(BlueCare℠ and TennCareSelect including CHOICES)

Authorization and Request Forms

Use these forms to make changes to or request your health information. You can also file a privacy complaint.

Member Handbooks

For more details about your plan, see your BlueCare or TennCareSelect handbook. You can read about your benefits, network and coverage.

Member Resources

There may be a time when you can no longer care for yourself. Use these forms to provide direction on your treatment.

Newsletters

Read our latest newsletters. They’re full of helpful information about health and wellness and your benefits.

Take Care of You

SelectKids (Foster Parent Resources)

These documents provide extra support for foster parents. You’ll want to read them if you’re a parent of a child or teen in state care.

Your Rights

These forms help you understand your rights and responsibilities. And make requests related to those rights.

<   Back

CoverKids  

Authorization and Request Forms

Use these forms to make changes to or request your health information. You can also file a privacy complaint.

Member Handbooks

For more details about your plan, see your CoverKids handbook. You can read about your benefits, network and coverage.

Newsletters

Read our latest newsletters. They’re full of helpful information about health and wellness and your benefits.

Healthy Generations

Your Rights

Want to learn about your right and responsibilities? Read these notices and forms. You can also file a discrimination complaint.

<   Back

Medicaid with Medicare (BlueCare PlusSM)  

Authorizations & Appeals

Forms and information to help you request prior authorization or file an appeal.

Pharmacies & Prescriptions

Forms and information about pharmacy services and prescriptions for your patients.

Quality Care Initiatives

Information to help you maximize your performance in our quality programs.

<   Back

BlueCard

BlueCard Resources

Information about benefits for your patients covered by the BlueCard program.

<   Back

Dental

Dental Resources

These documents contain information about your benefits, network and coverage.

<   Back

Behavioral Health

Behavioral Health (All Networks)

These documents contain information about your benefits, network and coverage.

<   Back

Enrollment  

Contracting and Credentialing

These documents contain information about your benefits, network and coverage.

<   Back

Technical Support  

Technical Support/ eBusiness Information

These documents contain information about your benefits, network and coverage.

<   Back

News and Updates

Announcements & Notices

Details about new programs and changes to our procedures and guidelines.

BlueAlert Provider Newsletter

The latest edition and archives of our monthly provider newsletter.

2020 BlueAlert Newsletter

Quality Care Quarterly Newsletter

The latest edition and archives of our quarterly quality newsletter.

Code Edits/Code Updates

These documents contain information about upcoming code edits.

Code Archive

Bundling Rationale (Claims filed before Aug. 25, 2017)

BlueCross BlueShield of Tennessee uses a clinical editing database. The clinical editing rationale supporting this database is provided here to assist you in understanding the rationale behind certain code pairs in the database.
Code pairs reported here are updated quarterly based on the following schedule.

Date Data Effective for Source Date Change Is Applied by BCBST
January 1 April 1
April 1 July 1
July 1 October 1
October 1 January 1

These updates will be published on BCBST.com at least 30 days prior to the effective date of any additions, deletions or changes.