Find out if prior authorization is required by entering the group number and procedure code.
Note: All non-emergent inpatient admissions require prior authorization.
This tool works for most BCBSAZ members. However, please refer to the exceptions below.
(Please enter the first 6 digits only)
* Indicates required fields
Medications covered under pharmacy benefits: Visit pharmacy resources for BCBSAZ coverage and prior authorization requirements.
Medicare Advantage plans: Visit the Medicare Advantage Provider Resources page.
CHS Group plans: Call the number on the back of the ID card or contact the group’s TPA.
Federal Employee Program® (FEP®) plans: See the BCBSAZ Prior Authorization Code Lists (tab 7) or visit the FEP Plan Brochures page.
BlueCard® (Out-of-Area) members: Use the BlueCard prior authorization router tool in the BCBSAZ secure provider portal.