BCBS and BCN: Reminder that qualification forms must be submitted online

March 13, 2023

Dear BCN-Affiliated Medical Care Group Business Administrator:

Please help us by reminding your primary care practices that the Blue Care Network Qualification Form must be submitted online within the BCN Health e-Blue℠ application. The Blue Care Network Qualification Form cannot be faxed.

Many BCN patients with coverage through Healthy Blue Living℠ need their qualification forms submitted by the end of March. Some offices are calling Provider Inquiry to request a fax number. Faxing is not an option for the BCN form.

For more information, please ask your practices to view this provider alert: Reminder: submit Healthy Blue Living℠ HMO qualification forms electronically or see the article on page 3 of the March-April 2023 issue of BCN Provider News.

Thank you for the care you and your practices provide to our BCN members and for helping them comply with the requirements of their health coverage by submitting their qualification forms online.