To view the out-of-area Blue Plan's medical policy or general pre-certification/pre-authorization information, please select the type of information requested, enter the first three-characters of the member's identification number on the Blue Cross Blue Shield ID card, and click "GO".
-
- Home
- Network Participation
- Claims and Eligibility
Claims and Eligibility
- Claims and Eligibility
- Electronic Commerce
- Eligibility and Benefits
- Utilization Management
- Prior Authorization and Recommended Clinical Review
- How to Request Prior Authorization and Recommended Clinical Review
- Prior Authorization Lists
- Claim Submission
- Claim Payment
- Claim Review and Appeal
- Refund Management
- ClaimsXten
- Evicore
- Interactive Voice Response (IVR) System
- Carelon
- Education and Reference
- Clinical Resources
- Pharmacy Program
- Standards and Requirements
- Availity® Essentials Portal
- Employers
- Producers
- Providers
- Company Information
Medical Policy and Pre-Certification/Pre-Authorization information for out-of-town members
If you experience difficulties or need additional information, please contact 1-800-676-BLUE or call the number on the back of the membership ID card.
Date modified — 02/04/2019