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Log in to Availity. Select Patient Registration menu option, choose Authorizations Referrals, then Authorizations* Select Payer BCBSOK, then choose your organization. Select a Request Type and start request.
Employees will receive a debit card to pay for qualified medical expenses, such as doctor visits and prescriptions. The card provides a single access point to their HSA and any other spending accounts theyre enrolled in. Employees can invest their HSA funds once their HSA balance exceeds $1,000.
How to access and use Availity Authorizations Referrals: Log in to Availity. Select Patient Registration menu option, choose Authorizations Referrals, then Authorizations* Select Payer BCBSTX, then choose your organization. Select a Request Type and start request. Review and submit your request.
If the provider or member does not get prior authorization for out-of-network services, the claim may be denied or will be subject to a post-service medical necessity review. Emergency services are an exception. Reminder: Submit your prior authorization requests with the appropriate documentation and level of urgency.
Where can an appeal be filed? Call Member Services at 1-855-817-5785 (TTY: 711) Monday through Friday from 8 a.m. to 8 p.m. This call is free. Fax your written appeal to 1-888-458-1406.
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Pharmacy Prior Authorization Center for Medi-Cal: Hours: 24 hours a day, seven days a week. Phone: 800-977-2273 (TTY 711)
Currently, specialists and other providers must obtain a referral from a BCBSTX members PCP or referring provider prior to treating that member.
Akin to an official recommendation, referrals are made from one physician to another. The patient is usually responsible for obtaining the original referral from their doctor. Following the request, the physician may simply write a script for treatment that references a specific doctor, such as a specialist.

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