711. Out-of-state providers. * Services may be listed as requiring precertification that may not be covered benefits for a particular member. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Prior Authorization Lookup Tool - Anthem Blue Cross Use the Precertification Lookup Tool accessed through Payer Spaces in Availity. Compare plans available in your area and apply today. Please update your browser if the service fails to run our website. Home Employer Federal Employees Blue Cross And Blue Shield Service Benefit Plans Medical Plans Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Find drug lists, pharmacy program information, and provider resources. Be sure name and NPI entered for ordering provider belongs to a physician or non-physician practitioner. Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) has an online tool that displays prior authorization guidelines to help you quickly determine whether certain services for Anthem members require a prior authorization. This may include but is not limited to decisions involving pre-certification, inpatient review, level of care, discharge planning and retrospective review. We currently don't offer resources in your area, but you can select an option below to see information for that state. Directions. Prior authorization lookup tool| HealthKeepers, Inc. We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. Your browser is not supported. Medicare and some payers may allow providers of different specialties to report initial hospital services and require the admitting/supervising provider to append modifier AI. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.
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