PA Resources Portlet

Resources

EDUCATION & EVENTS

ENROLLMENT & CREDENTIALING

FORMS & MANUALS

PHARMACY

POLICIES & GUIDELINES

PRE-SERVICE REVIEW

PROGRAMS & INITIATIVES

PROVIDER eSOLUTIONS

PROVIDER NETWORKS & SPECIALTIES

PA Dynamic Rendering

PRE-SERVICE REVIEW

Pre-Service Review

The services listed below may require precertification for your Blue Cross patients including those with Blue Advantage plans. To see if precertification is needed for a patient, check eligibility and benefits through ProviderAccess.

Precertification requirements are subject to change at any time so it's important to check eligibility requirements for the specific date of service for the procedure or equipment.

Advanced Imaging

Chiropractic

Durable Medical Equipment 

Genetic Testing

Home Health

Hospice

Cancer Treatment Pathways

Provider-Administered Drugs

Radiation Therapy

Surgical Services

Therapy - Occupational, Physical, Speech

Online Tutorials

  • New Services Requiring Precertification
    January 2021

 

  • New Services Requiring Precertification - Out-of-State Providers
    January 2021