OSP News

Update to Blue Cross Complete Request for Prior Authorization Process - One Member Per Fax Submission

Posted: 04/21/2021

In an effort to increase timeliness of authorization processing, Blue Cross Complete (BCC) is moving to an automated fax authorization request system. This process will automatically read faxed authorization requests then generate a case for Utilization Management review. BCC will keep you updated on their progress and provide a system go-live date as soon as information is available.

Please be advised that this process will only accept one member per fax submission. Multiple member authorization requests in a single submission using the automated system may result in a delayed review.

As a reminder, Blue Cross Complete recommends providers use the provider portal NaviNet.net to submit plan notification and authorization requests. Providers can upload clinical information through NaviNet and view the status of requests in real-time.

For additional questions, please contact your Blue Cross Complete provider account executive or the Blue Cross Complete Provider Inquiry at 1-888-312-5713.

Providers can also contact Blue Cross Complete’s Utilization Management department for more information at 1-888-312-5713 (press 1 then 4) or fax to 1-888-989-0019. Normal business hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.

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