Your doctor can submit prior approval electronically, by fax or by mail. A prior approval is required for the procedures listed below for both the fep standard and basic option plan and the fep blue focus. In conjunction with this guideline, related medical policy or criteria may be used for review of a specific imaging test and/or diagnosis. You can request an electronic prior authorization by continuing below. Fep blue focus prior approval list.
Coverage determinations are inclusive of all types of requests that can be made regarding drug coverage, such as prior authorizations, exceptions, and reimbursement. Genetic testing for the diagnosis and/or management of an existing medical condition : Form contains personal identifiable information related to a substance use disorder (sud) services request. Please review the form and have your answers ready for faster service.
Web federal employee program (fep) medical authorizations. Web view the list of fep standard and basic procedures/dme requiring prior approval. Your doctor can submit prior approval electronically, by fax or by mail.
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Web most drugs are covered without requiring prior approval. Please note that a blue kc provider portal account is required for submitting and reviewing prior authorizations. Web prior authorization request form. Web view the list of fep standard and basic procedures/dme requiring prior approval. Fep blue focus prior approval list.
In conjunction with this guideline, related medical policy or criteria may be used for review of a specific imaging test and/or diagnosis. Sm service mark of blue cross and blue shield of north carolina. You can request an electronic prior authorization by continuing below.
We Review The Service Or Treatment To Ensure It Is Medically Necessary.
Overseas prescription drug claims must be submitted within one. However, some select drugs require your doctor to provide information about your prescription to determine coverage. Covermymeds automates the prior authorization (pa) process making it the fastest and easiest way to review, complete and track pa requests. Approval will be given once all required documentation has been received.
Web Fep Medical Health Forms.
Review or submit prior authorizations. Web select the appropriate fep form to get started. Web prior authorization request form. Forms and additional information can be downloaded here.
Web Prior Approval Pharmacy Forms.
Find what you need by searching our website. Please note that a blue kc provider portal account is required for submitting and reviewing prior authorizations. Large genomic rearrangements of the brca1 and brca2 genes screening or diagnostic testing. Web services requiring prior authorization.
Your Doctor Can Submit Prior Approval Electronically, By Fax Or By Mail.
How to request precertification for an admission or get prior approval for other services. View and download our medical, pharmacy and overseas claim forms. View the list of fep blue focus procedures/dme requiring prior approval. Web approved requests for medications which are subject to prior authorization require additional criteria to be met prior to final validation and coverage determination.
Web this guideline specifically addresses clinical review for prior approval of high technology diagnostic imaging requests for ct, mri and pet examinations. Web prior approval pharmacy forms. Web an independent licensee of the blue cross and blue shield association ® registered marks of the blue cross and blue shield association. How to request precertification for an admission or get prior approval for other services. Genetic testing for the diagnosis and/or management of an existing medical condition :