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  • Mn Bcbs X14764r07 2014

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X14764R07 (02/14) Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

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(651) 662-5050 or toll free 1-800-262-0823 if you are not eligible for Medicare. (651) 662-9949 or toll free 1-855-579-7658 if you are eligible for Medicare.

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.

Claims are processed through Availity using the payer ID code 00562.

Blue Cross and Blue Shield of Minnesota requires notification/authorization for all inpatient admissions.

Blue Cross Blue Shield is part of the Anthem family of brands. While the two brands are related, they sell different Medicare plans in different areas.

How to access and use Availity Authorizations: Log in to Availity. Select Patient Registration menu option, choose Authorizations & Referrals, then Authorizations. Select Payer BCBSIL, then choose your organization. Select a Request Type and start request. Review and submit your request.

bluecrossmn.com Blue Cross and Blue Shield of Minnesota and Blue Plus (Blue Cross) prior authorization: 866-518-8448; Fax: 1-800-964-3627 To prevent delay in processing your request, please fill out this form in its entirety with all applicable information.

Pharmacy Information and Tools Prime Therapeutics is the pharmacy benefits manager for Blue Cross and Blue Shield of Minnesota and Blue Plus (Blue Cross) subscribers.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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