September 15, 2020
In January 2021, Blue Cross and Blue Shield of Oklahoma (BCBSOK) is launching Blue HPN, part of a new national high-performance network for large commercial employer groups. Blue HPN will provide these groups access to quality, affordable health care in Oklahoma and nationwide. For providers, the network follows the same procedures as Blue Preferred PPOSM.
Blue HPN value
The network includes primary care physicians, specialists and hospitals in more than 55 major U.S. markets. In Oklahoma, Blue HPN will be offered statewide to self-funded employer group customers.
Provider participation in Blue HPN is based on factors including:
- Participation in the Blue PreferredSM network
- Partnership with BCBSOK to meet quality expectations and improve affordability, efficiency and health outcomes
Treating Blue HPN members
Blue HPN members have full benefits only when receiving care from Blue HPN-contracted providers with BCBSOK and with other Blue Cross and Blue Shield (BCBS) Plans. Members do not need to choose a primary care physician or get referrals for in-network specialists.
When Blue HPN members need to see a specialist or another health care provider, you can help ensure members receive full benefits by recommending other Blue HPN providers. Check BCBSOK's online Provider Finder® or call the number on the member ID card to identify Blue HPN providers.
In Blue HPN service areas, members have access to emergent care with non-Blue HPN providers. In non-Blue HPN service areas, members have access to urgent and emergent care.
Recognizing Blue HPN members
You can identify Blue HPN members by their BCBSOK ID card. Look for the Blue High Performance Network name on the front, along with the "HPN in a suitcase" logo. This logo indicates that Blue HPN rates apply.
Checking eligibility and benefits: Use Availity® or your preferred vendor to check eligibility and benefits for all BCBSOK members before every scheduled appointment, including for Blue HPN members. Eligibility and benefit quotes include membership confirmation, coverage status and applicable copayment, coinsurance and deductible amounts. The benefit quote may also include information on applicable benefit prior authorization requirements. Ask to see the member's BCBSOK ID card and a driver's license or other photo ID to help guard against medical identity theft.
Filing claims: Submit local and out-of-area claims to BCBSOK as you typically would.
See the Eligibility and Claims section of our website for more details.
Questions?
Call the Customer Service number on the member's ID card.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSOK. BCBSOK makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. If you have any questions about the products or services provided by the vendor, you should contact the vendor directly.
Checking eligibility and/or benefit information and/or the fact that a service has been preauthorized is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member's eligibility and the terms of the member's certificate of coverage applicable on the date services were rendered. If you have any questions, call the number on the member's ID card.