Nc prior authorization request bluecross 2025

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What are the steps to obtaining prior authorization? Your insurance company will review your doctors request. Once theyve decided, theyll send their decision to both you and your medical provider in writing. If your doctor feels that you cant wait that long, they can submit an urgent or expediated request.
Use the Precertification Lookup Tool accessed through Payer Spaces in Availity. Call Provider Services at 1-844-421-5662.
Prior authorization is a time-consuming, labor-intensive, and often frustrating process. Requests require several steps, and theres often a lot of back and forth with payers, especially if the initial request isnt accurate and complete.
Your health care provider can make the prior authorization request. If your provider submits the request, they will send the required information to your health plan. You may need to fill out forms for your providers office.
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