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  • Ca Blue Shield Prior Authorization Request Form Elective Percutaneous Coronary Intervention (pci)

Get Ca Blue Shield Prior Authorization Request Form Elective Percutaneous Coronary Intervention (pci)

E authorization system - to complete, submit, attach documentation, track status, and receiv e determinations for both medical and pharmacy authorizations. Visit Prov ider Connection (www.blueshieldca.com/prov ider) and click the Authorizations tab to get started. Notice: BSC has a 5 Business Day turn-around time on all Prior Authorization Requests. Failure to complete this form in its entirety may result in delayed processing or an adverse determination for insufficient information. Provider.

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The GHPP is a prior authorization program. This means that a Service Authorization Request (SAR) must be submitted to the GHPP State office for approval for all diagnostic and treatments services, except for emergencies.

Fax: (916) 350-8860, Monday - Friday, 6:00 a.m. - 6:30 p.m.

For additional assistance, providers can call Availity Client Services @ 1.800.282.4548 Monday–Friday, 8:00am to 8:00pm ET.

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

Log in to Availity. Select Patient Registration menu option, choose Authorizations & Referrals, then Authorizations* Select Payer BCBSOK, then choose your organization. Select a Request Type and start request.

For help, call us at the number listed on your ID card or 1-866-346-7198. For more help all the CA Department of Insurance at 1-800-927-4357. Blue Shield provides document and telephone support in a variety of languages, so that getting services is easier.

Certified in Total - Indicates that the precertification is completed to the certified/review date. This will be a certification of admission only or a certification of medical necessity. If the precertification information is approved, a length of stay will be assigned.

o Select “Withdraw” • Click “Accept” to open the new window • Select the Cancel Reason (By Provider or By Member) • Add optional comments • Click “Cancel Request” Page 2 Successfully withdrawn requests will display the status of “Cancelled” in the Auth/Referral Dashboard.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232