OSP News

Updates to Blue Cross Complete Medication Prior Authorization Requirements

Posted: 07/28/2021

Blue Cross Complete (BCC) would like to advise you of changes that took effect July 1, 2021 to the prior authorization requirements for certain healthcare common procedure coding system medications.

Prior authorization is not a guarantee of payment for the service authorized. Blue Cross Complete reserves the right to adjust any payment made following a review of the medical records or other documentation or determination of the medical necessity of the services provided.

Additionally, payment may also be adjusted if the member’s eligibility changes between when the authorization was issued, and the service was provided.

Click here to view the current list of medications requiring prior authorization, this list can also be located at mibluecrosscomplete.com

If you have questions, please contact your Blue Cross Complete provider account executive, Blue Cross Complete Provider Inquiry at 1-888-312-5713 or PerformRx Pharmacy Services at 1-888-989-0057. 

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