To view the out-of-area Blue Plan's medical policy or general prior authorization information, please select the type of information requested, enter the first three characters of the member's identification number on the Blue Cross Blue Shield ID card, and click "GO."
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- Home
- Network Participation
Network Participation
- Claims and Eligibility
Claims and Eligibility
- Education and Reference Center
- Clinical Resources
Clinical Resources
- Clinical Resources
- Alacura Medical Transportation Management
- Behavioral Health Care Management Program
- Carelon
- Clinical Practice Guidelines
- eviCore Prior Authorization Program
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Health Equity and Social Determinants of Health (SDoH)
- Preventive Care Guidelines/Patient Wellness Guidelines
- Opioid Resources
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Quality Care – Partner With Your Patients
- Quality Improvement Tip Sheet
- Special Beginnings - Maternity Program
- Telemedicine and Telehealth Services
- Pharmacy Program
- Standards and Requirements
Standards and Requirements
- Standards and Requirements
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Affordable Care Act (ACA)
- Clinical Payment and Coding Policies
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Consolidated Appropriations Act and Transparency in Coverage Final Rule
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Disclosure Notices
- Federal Employee Program (FEP)
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General Reimbursement Information
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Manuals
- Medical Policies
- Medical Policy and Prior Authorization: Out-of-area Members
- PEAQ - Physician Efficiency, Appropriateness, & Quality Program
- Employers
- Producers
- Providers
- Company Information
Medical Policy and Prior Authorization Information for Out-of-Area Members
If you experience difficulties or need additional information, please contact 800-676-BLUE or call the number on the back of the membership ID card.