Pre-authorization

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Electronic authorizations

Use Availity’s electronic authorization tool to quickly see if a pre-authorization is required for a medical service, submit your medical pre-authorization request or view determination letters. Some procedures may also receive instant approval.

Learn more about electronic authorization

Pre-authorization lists

Commercial

View requirements for group and Individual members on our commercial products.

View commercial pre-authorization

Medicare

Review requirements for Medicare Advantage members.

View Medicare pre-authorization

Uniform Medical Plan

View pre-authorization requirements for UMP members.

Explore UMP pre-authorization

Federal Employee Program

View requirements for Basic Option, Standard Option and FEP Blue Focus.

FEP Basic Option/Standard Option
FEP Blue Focus

Pharmacy

View medication policies and pre-authorization requirements. Submit a pharmacy pre-authorization through covermymeds.com or submit a claim with TransactRx.

View requirements

Image of member handing ID card to provider office staff

BlueCard® Program

Other Blue Plans’ pre-authorization requirements may differ from ours. Easily obtain pre-authorization and eligibility information with our tools.

Explore now

TransactRx and CoverMyMeds are separate and independent companies that provide pharmacy pre-authorization and claims submission for Regence members.

Individuals & Families

Medicare

Employers

Producer

Providers

Blue Cross and Blue Shield Federal Employees Program (FEP)

Electronic authorizations

Pre-authorization lists

Commercial

Medicare

Uniform Medical Plan

Federal Employee Program

Pharmacy

BlueCard® Program