The Blue High Performance NetworkSM (BlueHPNSM) is a new national network through Blue Cross and Blue Shield launching in January 2021. Providers have been specifically selected to participate in this new network because of their commitment to providing quality and affordable care to patients.
Important: Review the list of providers and hospitals designated for the BlueHPN.
Note: Review information about our individual Exclusive Provider Organizations (EPO) Plans, which use the BlueHPN.
How does the BlueHPN work?
BlueHPN is a comprehensive network that includes a full range of providers including primary care physicians, ancillary providers, specialists, hospitals and more. In Alabama, this network focuses on the Birmingham area. Only certain healthcare providers meet requirements to be part of this network. Not all healthcare providers are included in this network.
Providers have been automatically selected to be part of this new network. For example, Primary Care Select providers in the Birmingham Metropolitan Service Area are included. There is no process for providers to apply to participate in this network. Providers who have been designated for this network do not have to take any action. More information is available on our BlueHPN FAQ webpage.
It's important that patients with this benefit plan receive care from BlueHPN healthcare providers to ensure they receive maximum benefits. If providers have patients who move to the BlueHPN and the provider is not in this network, those patients will not have benefits when receiving care from the non-BlueHPN provider. Providers and patients can use our Find A Doctor tool to identify BlueHPN healthcare providers.
How can you identify patients in the BlueHPN?
BlueHPN patients can be identified by looking at their Blue Cross member ID card. "Blue High Performance Network" will be prominently displayed on the front of the ID card, along with the “HPN in a suitcase” logo:
You can also determine if your patient is enrolled in this plan by checking eligibility and benefits, as shown in the image below.
What to Look for in ProviderAccess Eligibility and Benefits
Here are examples showing what you can expect to see for patients who are part of this new network:
On the “Covered” tab, providers will always see “Exclusive Provider Organization” along with either “HPN WITH TIERS” or “HPN WITHOUT TIERS” depending on the patient’s benefit structure.
BlueHPN details and verbiage will vary depending on the patient’s benefit structure.
On the “Non-Covered” tab, providers will again either see “HPN WITH TIERS” or “HPN WITHOUT TIERS” along with the message shown on the right.
If you have questions, call Provider Networks at 1-866-904-4130.