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  • Blue Cross Complete Of Michigan Authorization Request Form

Get Blue Cross Complete Of Michigan Authorization Request Form

78 Date: Blue Cross Complete does not provide coverage for certain types of medications and medical supplies. The following drugs are not provided through Blue Cross Complete: Vitamins except for end stage renal disease, pediatric fluoride supplementation or prenatal care Drugs used for the symptomatic relief of cough and colds Cosmetic drugs or drugs used for cosmetic purposes Drugs used for infertility Drugs used for sexual dysfunction Drugs used for the treatment of.

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

Prior authorization (PA) may be required via BCBSTX's medical management, eviCore® healthcare, Carelon Medical Benefits Management effective March 1, 2023 (formerly AIM) or Magellan Healthcare®. You can review how to submit PA or Notification requests and view PA statistical data here.

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.

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.

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.

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

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.

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.

CPT 93306 — the procedure ordered most frequently by cardiologists via eviCore's Advanced Imaging and Cardiology program — will no longer require authorization effective January 1, 2023.

3. 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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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