Pre-certification / Pre-authorization

Please read: Members of some group health plans may have terms of coverage or benefits that differ from the information presented here. The following information describes the general policies of BlueAdvantage Administrators of Arkansas and is provided for reference only. This information is NOT to be relied upon as pre-authorization or pre-certification for health care services and is NOT a guarantee of payment. To verify coverage or benefits or determine pre-certification or pre-authorization requirements for a particular member, call 1-800-676-BLUE or send an electronic inquiry through your established connection with your local Blue Plan.

Providers should remind patients from other Blue Plans that they are responsible for obtaining precertification or preauthorization for coverage of their services from their Blue Cross and Blue Shield Plan. You also may choose to contact the member's Plan on behalf of the member. If you choose to do so, refer to the precertification or preauthorization phone number on the back of the member's ID card.