![]() For instructions, refer to the BlueApprovR User Guide. Online – Use BlueApprovR SM to request prior authorization for some services.There are different ways to initiate your request. As noted above, when you check eligibility and benefits, in addition to confirming if prior authorization is required, you’ll also be directed to the appropriate vendor, if applicable.įor prior authorization requests handled by BCBSIL: Some requests are handled by BCBSIL others are handled by utilization management vendors. Step 3 – Submit Your Prior Authorization Request Provider name, address and National Provider Identifier (NPI).Date of service, estimated length of stay (if the patient is being admitted).Patient’s medical or behavioral health condition.Step 2 – If prior authorization is required, have the following information ready: ![]() Note: Checking eligibility and benefits is key, but we also have other resources to help you prepare. To view requirements summaries and procedure code lists, refer to the Support Materials (Commercial) and Support Materials (Government Programs) pages. In addition to verifying membership/coverage status and other important details, this step returns information on prior authorization requirements and utilization management vendors, if applicable. Always check eligibility and benefits first, via the Availity ® Essentials or your preferred web vendor, prior to rendering care and services. ![]() Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. Step 1 – Confirm if Prior Authorization is Required In general, there are three steps providers should follow. When and how should prior authorization requests be submitted?
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