Get 2016-10 Authorization Form - Bcbsla.com

Mon - Fri from 8 a.m.- 5 p.m.

Fax: 1-800-586-2299 Complete this form to submit authorizations for Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc.

The normal process for medications that require a prior authorization will be followed. Members should contact us at the number on the back of their member ID card if they have questions on these types of medications, or call 1-800-FLA-BLUE (1-800-352-2583).

Providers may request authorization by calling 1-800-523-6435 or by using our authorizations tool available on iLinkBlue (.BCBSLA.com/ilinkblue >Authorizations).

Customer Service Service Inquiries (Benefits, Claims, Bill Pay and Other Service issues) 1-800-495-2583 (toll-free) ... Fax. (225) 297-2727. E-Mail* help@bcbsla.com. Secure Online Contact Form. Contact us 24 hours a day, seven days a week through our secure online inquiry form. Hearing Impaired. 1-800-846-5277. TTY Callers (TTY)

The $2.5 billion sale to Indianapolis-based Elevance Health, formerly known as Anthem, was cheered by many community leaders who said Blue Cross chose a strong partner amid a changing U.S. insurance market and would improve the lives of Louisianans with its planned multibillion-dollar foundation.

Blue Cross and Blue Shield of Louisiana, an independent licensee of the Blue Cross and Blue Shield Association, offers Blue Advantage (PPO). The purpose of this form is to request a prior authorization for outpatient services and Part B drugs. Please fax this completed form to 1-877-528-5816, Attn. Medical Management.

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.