PA Resources Portlet

Resources

CODING & DOCUMENTATION

EDUCATION & EVENTS

ENROLLMENT & CREDENTIALING

FORMS & MANUALS

HEALTHCARE INFORMATION & TECHNOLOGY

PATIENT HEALTH

PHARMACY

POLICIES & GUIDELINES

PRE-SERVICE REVIEW

PROGRAMS & INITIATIVES

PROVIDER NETWORKS & SPECIALTIES

PA Dynamic Rendering

Hospice

Precertification is required for hospice services for most Blue Cross members. Hospice services must be certified prior to or within five days of start of care. To see if precertification is needed for a patient, check eligibility and benefits through ProviderAccess or your practice management system. 

Submit Preservice Reviews Electronically

Electronic preservice review is now available for all services requiring precertification. Submitting electronically instead of fax offers faster, often immediate approvals.

Getting Started

From Eligibility & Benefits, look for the green GO button to proceed with the electronic submission. The GO button appears whenever a precertification is required for the selected service type.

Also available: To request precertification via fax, complete the form below and fax to the number listed on the form. Electronic submission is preferred.

Request for Hospice Certification

Federal Employee Program (FEP) Request for Hospice Certification