Enter any medical service, medical drug, behavioral health service or procedure code in the search field above to see if prior authorization may be required for Blue Cross Community Health Plans (BCCHP) or Blue Cross Community MMAI (Medicare-Medicaid) plan members.
For example you can search by CPT codes or by service like "Cardiology".
You can also search by 5-digit code, drug name or service description such as:
"Avastin", or "gene analysis" or "behavioral health".
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Below are the procedures that require prior authorization based on your search. If you require prior authorization for any of the procedures below or if you have other questions, please call the number on the BCBSIL member ID card. We'll help you begin the process.
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This could mean two things:
Non-covered benefit services and codes will not be listed in this Look Up tool. If there are any questions on member benefits, refer to the Member Benefit Booklet or call the number on the member's BCBSIL ID card for more information.