Need to create a new pre-certification request for your patient or to view the status of an existing pre-certification request?
Visit the secure pre-certification section in BlueAccess.
Members of some group health plans may have terms of coverage or benefits that differ from the information presented here. The following information describes the general policies of Blue Cross and Blue Shield of Kansas and is provided for reference only. This information is NOT to be relied upon as pre-authorization or pre-certification for health care services and is NOT a guarantee of payment. To verify coverage or benefits or determine pre-certification or pre-authorization requirements for a particular member, call 800-676-BLUE or send an electronic inquiry through your established connection with your local Blue Plan.
To view the out-of-area Blue Plan's general precertification/pre-authorization information,enter the first three letters of the member's identification number on the Blue Cross Blue Shield ID card, and click "GO."
If you experience difficulties or need additional information, please contact 800-676-BLUE.
|All in-patient medical stays||800-782-4437|
|All in-patient mental health stays||800-952-5906|
|All home health and hospice services||800-782-4437|
|Transplants with the exception of cornea and kidney||800-432-0272|
|Androgens and Anabolic Steroids|
|Antihypertensives (drugs to treat high blood pressure)|
|BRCA 1 and BRCA 2 Testing|
|Denosumab (Prolia and Xgeva)|
|Diabetic Blood Sugar Test Strip/Disc|
|HP Acthar Gel|
|Intravenous and Subcutaneous Immune Globulin Therapy|
|Multiple Sclerosis Agents|
|Self Administered Oncology Drugs|
|Statin Drugs for Treatment of High Blood Cholesterol|
Disclaimer: Some employer groups have some specific items that require prior authorization. Call for more information.