11/4/2024
When you need to submit images to support a utilization management request, use the options below to send us photos. Photocopies sent via fax are typically low resolution and may not be reliable to support your case. The preferred method for submitting prior authorization or recommended clinical review requests is electronically.
If you submitted your original prior authorization or RCR request electronically: Send photos and other supporting documentation to us using the appropriate online option.
- BlueApprovRSM– For requests submitted via our BlueApprovR tool for some commercial members, we’ll email you to request photos if needed to complete clinical review. See our BlueApprovR provider tools page for more information.
- Authorization & Referrals tool via Availity® Essentials - After submitting an authorization via Availity, if the request pends for clinical review, select “Add Clinical Documentation” to attach supporting documentation. You may add up to 10 attachments (.pdf, TIFF, JPEG or XML). See our instructional Availity Authorizations provider tools page for more help.
- eviCore® healthcare for Prior Authorization (Government Programs) - Images can be attached in the request on the eviCore portal. To upload images in eviCore, select “View Uploads, Letters and Faxes Tab” in the upper navigation menu.
- Carelon Medical Benefits Management - During the review, Carelon may request diagnostic imaging results, such an X-ray, CT, MRI, etc., of the pertinent region performed within the last twelve months. Login to Carelon’s provider portal for more information.
To support prior authorization or RCR requests initiated by phone or fax: Send photos via secured email to us at photohandling@bcbsil.com. Add photos to your email as attachments, such as JPEG or PDF. (Don’t copy and paste photos into the body of your email.)
In the body of your email, include:
- Member’s first and last name
- Member’s date of birth
- Member ID number, including the three-character prefix
- Group number
- Case number from Blue Cross and Blue Shield of Texas
Please note that checking of eligibility and benefits information, and/or the fact that any pre-service review has been conducted, is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member's certificate of coverage applicable on the date services were rendered. If you have any questions, call the number on the member's ID card.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX.
eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides utilization management services for BCBSTX.
Carelon Medical Benefits Management (Carelon) is an independent company that has contracted with BCBSTX to provide utilization management services for members with coverage through BCBSTX.
BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.