Some Independence patients received a new member ID card for coverage effective in 2021.
Please confirm the member's coverage and eligibility at each visit and before rendering services.
Medical Policy/PreCertification for out-of-area Blue Plan members
The Medical Policy/Precertification Router allows an Independence network provider access to information about the out-of-area Blue members Home Plan through NaviNet Open.* For more detailed information about NaviNet Open and for access to our NaviNet Open transaction user guides, visit the NaviNet Open section.
Make a copy of their ID card. Use the most recent member information when submitting claims.
For out-of-area Blue Plan members, refer to the
Quick guide to Blue member ID cards.
Verify eligibility and benefits. Use the Eligibility and Benefits Inquiry transaction on the NaviNet® web portal (NaviNet Open).*
For out-of-area Blue Plan members, use the BlueExchange® Out of Area transaction.
Complete the COB, as applicable. For out-of-area Blue Plan members, have them complete the Coordination of Benefits (COB) Questionnaire for Out-of-Area Members, if applicable.
If a member does not have their new ID card yet or forgot it, ask the member to print a temporary ID card by logging on to our secure member portal available at
For your convenience, NaviNet Open* and
ibx.com are available seven days a week.
*If your organization has transitioned to use PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal, you can use the Eligibility & Benefits and
BlueExchange® Out of Area transactions to view this information.
Additional information and self-service training materials are available in the
PEAR Help Center.
NaviNet® is a registered trademark of NantHealth, an independent company.