Effective April 1, 2010 – Easier Access to Pre-Certification/Pre-Authorization Information for Out-of-Area Blue Members

We are pleased to announce enhancements to the BlueCard Eligibility Line. These changes will improve your experience in verifying eligibility and obtaining pre-certification/pre-authorization information for your out-of-area Blue patients. Please note the changes as follows.

If calling 1.800.676-BLUE (2583) to obtain pre-certification/pre-authorization only:

Effective April 1, 2010, when pre-certifications/pre-authorizations for a specific member are handled separately from eligibility verifications, your call will be routed directly to the area that handles pre-certifications/pre-authorizations. You will choose from four options regarding the type of service for which you are calling:

  • Medical/surgical
  • Behavioral health
  • Diagnostic imaging/radiology
  • Durable medical equipment (DME)

Upon making your selection, you will be transferred to the appropriate area of the member's Plan to service your specific request.

If calling 1.800.676-BLUE (2583) to obtain eligibility only or if you need both eligibility and pre-certification/pre-authorization:

Your call will be handled like it is today. You will select the option to obtain eligibility and pre-certification/pre-authorization information. First, your eligibility inquiry will be addressed. Then you will be transferred, as appropriate, to the pre-certification/pre-authorization area.