Medical Policy & Pre-Cert/Pre-Auth Router

Medical Policy and Pre-Cert/Pre-Auth Information for Out-of-Area Members (Pre-Cert/Pre-Auth Requirements are not Applicable for Michigan Providers)

To view the out-of-area Blue Plan's medical policy or general pre-certification/pre-authorization information, please select the type of information requested, enter the first three characters of the member's identification number on the Blue Cross Blue Shield ID card, and click "GO".

 

Type of information being requested :	Please select one at a time

	Medical Policy
	General pre-certification/pre-authorization information

 

Prefix :

If you experience difficulties or need additional information, please contact 1-800-676-BLUE.

Blue Cross Blue Shield of Michigan and Blue Care Network medical policies

If you wish to view Blue Cross Blue Shield of Michigan and Blue Care Network medical policy information directly, without entering a prefix, please click on the link below:

• Medical Policies

PLEASE READ: Members of some group health plans may have terms of coverage or benefits that differ from the information presented here. The following information describes the general policies of Blue Cross Blue Shield of Michigan and Blue Care Network and is provided for reference only. This information is not to be relied upon as pre-authorization or pre-certification for health care services and is not a guarantee of payment. To verify coverage or benefits or determine pre-certification or pre-authorization requirements for a particular member, call 1-800-676-BLUE or send an electronic inquiry through your established connection with your local Blue Plan.