Find out if precertification is required by entering the group number and procedure code.
This tool works for most BCBSAZ members. However, please refer to the exceptions below.
* Indicates required fields
Exceptions
PCP Coordinated Care HMO plan members: See the precertification requirements PDF.
Medicare Advantage members: See the MA prior authorization code list in the secure provider portal at azbluemedicare.com.
TPA co-administered plan members: Call the precertification number on the back of the ID card.
CHS group members: Call the number on the back of the ID card or contact the group’s TPA.
FEP® members: See the precertification requirements PDF or visit the FEP policies and guidelines page.
BlueCard® (out-of-area) members: Use the pre-service review tool in the secure provider portal at azblue.com/providers.
Disclaimers