What is the process for getting pre-authorization for a medical procedure?
To obtain pre-authorization for a medical procedure with Blue Cross Blue Shield, you typically need to contact your primary care physician or specialist to discuss the procedure and determine if pre-authorization is required. Your healthcare provider will submit the necessary information to Blue Cross Blue Shield for review. The review process may involve a review of medical records, consultations with specialists, and other factors to determine medical necessity. Once a decision is made, you will be notified of the outcome. It is important to check with your insurance provider to understand specific requirements and timelines for pre-authorization to ensure your procedure is covered.
Answered Mar 9, 2024
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