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Find out if services require prior authorization for your fully insured Horizon BCBSNJ patients by entering a CPT® or HCPCS code and selecting a place of service. Access the tool online or through NaviNet® and check the member ID card for plan type.
Learn how to use the new digital lookup tool to view prior authorization requirements for commercial fully insured non-HMO BCBSIL members. The tool allows you to search by procedure code, service description or drug name and provides information for medical, drug and behavioral health services.
Learn how to check online if a CPT or HCPCS code requires benefit preauthorization for BCBSTX members. This option is available through the Availity portal or your preferred web vendor for most BCBSTX plans.
Find the CPT codes for medical services and procedures covered by Blue Cross NC plans. Search by code, view PDF lists, and request prior plan approval for some services.
Procedure Code Look Up. Locate procedure codes that may require prior authorization for Fully Insured Members Only using the following: Digital Lookup Tool. Select the appropriate category below to find out if a member’s procedure may require prior authorization: Medical Procedure. Medical Drugs. Behavioral Service. Procedure Code Lists
Find information and resources for prior authorization (pre-approval, pre-authorization and pre-certification) for health insurance services. Submit prior authorizations digitally via Availity Essentials or select your state for more details.
Prior Authorization Code Lookup. Find out if prior authorization from Highmark Health Options is required for medical procedures and services. Enter a Current Procedural Terminology (CPT) code in the space below to get started.
Prior Authorization Lookup Tool Please verify benefit coverage prior to rendering services. Inpatient services and nonparticipating providers always require prior authorization.
Check if a service or item requires prior authorization from Blue Cross and Blue Shield of Minnesota health plans. Enter member group number, service date and procedure code to see the results.
Find HCPCS codes for healthcare procedures and services. Search through the 2024 Healthcare Common Procedure Coding System maintained by CMS, AHIP, and BCBS.