OSP News

Blue Cross Complete Prior Authorization Requirements Updates

Posted: 06/11/2024

Effective September 16, 2024, prior authorization for the HCPCS codes and services listed in the table below do not require prior authorization:

Removal of the prior authorization and medical necessity review for these services is part of Blue Cross Complete‚Äôs continued dedication to supporting providers in our shared commitment to high quality health care for our participants. 

As a reminder, when you do need to verify whether a service 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. If you have questions, please contact your Blue Cross Complete provider account executive or Provider Inquiry at 1-888-312-5713.

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