Medical Policy and Precert/Preauth for Out-of-Area Members

Use this form to view the out-of-area Blue Plan's medical policy or general precertification/preauthorization information.


  • Select the type of information requested.
  • Enter the first three letters of the member's identification number on the Blue Cross Blue Shield ID card.
  • Submit the form.

If you have questions, please contact 800.676.2583.

Required fields are noted with an asterisk *.