Blue Cross Complete will be the single point of contact for all new prior authorization requests, prior authorization requests for continuation of services, and retrospective authorization requests previously managed by eviCore healthcare.

Authorization requests submitted to eviCore healthcare before midnight on March 12, 2024, for selected services or items outlined on mibluecrosscomplete.com will be processed by eviCore healthcare. To help ensure a smooth transition of the management of prior authorization requests, Blue Cross Complete asks that providers refrain from submitting duplicate requests to eviCore healthcare and Blue Cross Complete.

To verify whether a service or item requires prior authorization, use the Prior Authorization Lookup Tool at mibluecrosscomplete.com. Please remember, the results of this tool are not a guarantee of coverage or authorization.

Starting March 12, 2024, all new prior authorization requests, prior authorization requests for continuation of services, and retrospective authorization requests for services provided prior to March 12, 2024, should be submitted directly to Blue Cross Complete in one of the following ways:

• Electronically, via Medical Authorizations in NaviNet.
• By calling Utilization Management at 1-888-312-5713 during normal business hours, which are Monday through Friday, 8:00 a.m. to 5:00 p.m. For after hours, weekends and holidays, please call 1-888-312-5713 (press 1 then 4) to request a review.
• By faxing a completed Prior Authorization Requests Form to 1-888-989-0019.

The Blue Cross Complete Prior Authorization Resources page and Lookup Tool will be updated with instructions and guidelines for submitting standard and urgent requests. Additional information about the transition of the management of prior authorization requests will be shared in the coming weeks.