BCBSAZ Proprietary Medical Policies
BCBSAZ’s proprietary medical policies provide information to assist us in making coverage determinations under a benefit plan. Decisions about whether a particular service or treatment is clinically appropriate may differ from decisions about coverage. The provider and the member are responsible for all decisions regarding the appropriateness of care. When requesting prior authorization or seeking exceptions to these policies, providers should submit complete medical rationale and supporting evidence. Our proprietary evidence-based criteria are subject to change as new information becomes available.
To view the BCBSAZ proprietary policies you must accept the above statement.