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Prior Authorization Information Prior authorization is required for certain procedures, services and medications, as well as for all inpatient admissions.

Then, select the Prior Authorization and Notification tool on your Link dashboard. Or, call 888-397-8129.

BCBSM requires prior authorization for services or procedures that may be experimental, not always medically necessary, or over utilized. Providers must submit clinical documentation in writing explaining why the proposed procedure or service is medically necessary.

How do providers initiate a prior authorization request? Call 1-877-917-2583 (BLUE) or fax 1-844-407-5293. Hours are 8 a.m. to 7 p.m. Eastern time on weekdays; and 10 a.m. to 5 p.m. on weekends and holidays.

Plan from seeking additional information or documents from Provider in relation to its review of other requests or matters. 10. Fax each completed Predetermination Request Form to 800-852-1360. If unable to fax, you may mail your request to BCBSIL, PO BOX 805107, Chicago, IL, 60680-3625.

How to access and use Availity Authorizations: Log in to Availity. Select Patient Registration menu option, choose Authorizations & Referrals, then Authorizations*

By phone: Blue Cross NC Utilization Management at 1-800-672-7897 Monday to Friday, 8 a.m. — 5 p.m. ET. By fax: Request form.

Requests for authorization for BCBS Michigan members can be submitted directly through your local Blue plans electronic portal via the Electronic Provider Access system (EPA). BCBSM encourages the use of the Electronic Provider Access system (EPA) to effectively and efficiently respond to your request.