Home Employer Federal Employees Blue Cross And Blue Shield Service Benefit Plans Medical Plans In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. This approval process is called prior authorization. Updated June 02, 2022. These documents contain information about upcoming code edits. Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, Inc. In Maine: Anthem Health Plans of Maine, Inc. National Accounts, Posts about using health Insurance and managing your health, Collections of learning resources and links to services, For Sydney Health users connect with others and find care programs. ). Checking eligibility and/or benefit information and/or the fact that a service has been prior authorized is not a guarantee of payment. Prior authorization requirements are specific to each patients policy type and the procedure(s) being rendered. Anthem Blue Cross (Anthem) is available by fax or Interactive Care Reviewer (ICR) 24/7 to accept prior authorization requests. Drug list/Formulary inclusion does not infer a drug is a covered benefit. Anthem does not require prior authorization for treatment of emergency medical conditions. The form contains important information regarding the patient's medical history and requested medication which Anthem will use to determine whether or not the prescription is included in the patient's health care plan. This article offers an overview of 2021 prior authorization support materials and related communications that may apply for some of our non-HMO commercial and government programs members, effective Jan. 1, 2021. For more information, please refer to the Medical Policy Reference Manual. Independent licensees of the Blue Cross and Blue Shield Association. Provider Enrollment Forms. Type at least three letters and well start finding suggestions for you. We look forward to working with you to provide quality services to our members. In Maine: Anthem Health Plans of Maine, Inc. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Once logged in, select Patient Registration | Authorizations & Referrals, then choose Authorizations or Auth/Referral Inquiry as appropriate. View the list of services below and click on the links to access the criteria used for Pre-Service Review decisions. You can also check status of an existing request and auto-authorize more than 40 common procedures. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. Some procedures may also receive instant approval. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Infusion Site of Care Prior Authorization Drug List: New Codes Will Be Added, Effective Jan. 1, 2021 This notice was posted Dec. 28, 2020, to advise you of 14 new codes being added to our specialty pharmacy prior authorization drug list. Use Availity's electronic authorization tool to quickly see if a pre-authorization is required for a medical service or submit your medical pre-authorization request. This includes our Medicaid Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and Blue Cross Medicare Advantage (PPO)SM(MA PPO) members. Please use the Please check your schedule of benefits for coverage information. In Ohio: Community Insurance Company. Medical Injectable Drugs: 833-581-1861. You can also refer to the provider manual for information about services that require prior authorization. To get started, select the state you live in. endstream endobj 452 0 obj <. For your convenience, we've put these commonly used documents together in one place. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Providers should continue to verify member eligibility and benefits prior to rendering services. February 2023 Anthem Provider News - Missouri, New ID cards for Anthem Blue Cross and Blue Shield members - Missouri, Telephonic-only care allowance extended through April 11, 2023 - Missouri, January 2023 Anthem Provider News - Missouri, December 2022 Anthem Provider News - Missouri, November 2021 Anthem Provider News - Missouri. If you have any questions, call the number on the members ID card. Medical Policies and Clinical UM Guidelines, HEDIS (The Healthcare Effectiveness Data & Information Set), Early and Periodic Screening, Diagnostic and Treatment (EPSDT). Bundling Rationale (Claims filed before Aug. 25, 2017). 1 Cameron Hill Circle, Chattanooga TN 37402-0001, Change of Ownership and Provider ID Number Change Information. In 2020, Part B step therapy may apply to some categories . Independent licensees of the Blue Cross and Blue Shield Association. Enhanced Care Management (ECM) under CalAIM is a care management benefit that is community-based and provides a whole person approach to care that addresses the clinical and nonclinical needs of members with the most complex medical and social needs. CareFirst reserves the right to change this list at any time without notice. The following summaries and related prior authorization lists were posted on the Support Materials (Government Programs) page as of Jan. 1, 2021: Important Reminder: Check Eligibility and Benefits First BCBS FEP Vision covers frames, lenses, and eye exams. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Choose My Signature. If you have questions regarding the list, please contact the dedicated FEP Customer Service team at 800-532-1537. In Indiana: Anthem Insurance Companies, Inc. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides utilization management services for BCBSIL. In addition, some sites may require you to agree to their terms of use and privacy policy. Anthem is available via the Interactive Care Reviewer (ICR) in Availity 24/7 to accept emergent admission notification. CareFirst does not guarantee that this list is complete or current. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Anthem is a registered trademark of Anthem Insurance Companies, Inc. Providers should continue to verify member eligibility and benefits prior to rendering services. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. A follow-up article with additional information on transition of member care was posted Dec. 4, 2020. Administrative. Get the latest news to help improve your life and keep you healthy. The services marked with an asterisk (*) only require Pre-Service Review for members enrolled in BlueChoice products if performed in an outpatient setting that is on the campus of a hospital. Scroll down to the table of contents. Prior Authorization Contact Information Providers and staff can also contact Anthem for help with prior authorization via the following methods: Utilization Management (UM) for Medi-Cal Managed Care (Medi-Cal) Phone: 1-888-831-2246 Hours: Monday to Friday, 8 a.m. to 5 p.m. Fax: 1-800-754-4708 Providers should call the prior authorization number on the back of the member ID card. From cleanings to crowns, BCBS FEP Dental coverage options are available for federal employees, retirees, and eligible retired uniformed service members. Drug list/Formulary inclusion does not infer a drug is a covered benefit. The list below includes specific equipment, services, drugs, and procedures requiring review and/or supplemental documentation prior to . Prior authorization requirements and coverage may vary from standard membership and will be documented in additional information sections. Large Group Effective 01/01/2023 (includes changes effective 04/01/2023) . Not connected with or endorsed by the U.S. Government or the federal Medicare program. Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). Visit our PharmacyInformation page for formulary information and pharmacy prior authorization forms. cost of services to the member if denied by Anthem for lack of medical necessity: (1) Procedures, equipment, and/or specialty infusio n drugs which have medically necessary criteria determined by Corporate Medical Policy or Adopted Clinical Guidelines. In the event that the emergency room visit results in the members admission to the hospital, providers must contact Anthem within one business day following admission or post-stabilization. Effective 01/01/2022 - 09/17/2022; Prior Authorization Procedure Codes List for ASO Plans. Federal and state law, as well as state contract language and Centers for Medicare & Medicaid Services (CMS) guidelines, including definitions and specific contract provisions/exclusions take precedence over these precertification rules and must be considered first when determining coverage. Future updates regarding COVID-19 will appear in the monthly Provider News publication. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. To view the medical policies associated with each service, click the link or search for the policy number in the Medical Policy Reference Manual. Rx Prior Authorization. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. ICR offers a fast, efficient way to securely submit prior authorization requests with clinical documentation. Availity, LLC is an independent company providing administrative support services on behalf of HealthKeepers, Inc. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). endstream endobj startxref Community Supports under CalAIM are voluntary wrap-around services or settings available to members as a substitute for utilization of other services that focus on medical and/or needs that arise from social determinants of health. Anthems PriorAuthorizationLookupToolOnlinecan assist with determining a codes prior authorization requirements. This approval process is called prior authorization. Anthem is a registered trademark of Anthem Insurance Companies, Inc. You'll also find news and updates for all lines of business. In the event of an emergency, members may access emergency services 24/7. To request or check the status of a prior authorization request or decision for a particular plan member, access our Interactive Care Reviewer (ICR) tool via Availity. Its critical to check member eligibility and benefits through the Availity Provider Portal or your preferred vendor portal prior to every scheduled appointment. Type at least three letters and well start finding suggestions for you. Forms and information about behavioral health services for your patients. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Information from Anthem for Care Providers about COVID-19 - RETIRED as of November 8, 2022. Availity Portal for behavioral health authorizations, or contactProviderServices for assistance. Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Anthem HealthKeepers Plus Provider Manual, Long-term Services and Supports Authorization Guide. There are three variants; a typed, drawn or uploaded signature. The "Prior authorization list" is a list of designated medical and surgical services and select prescription Drugs that require prior authorization under the medical benefit. As your health needs evolve, our diverse plans are designed to evolve with you. To learn more about required Colorado timelines for decisions regarding PA requests, please click, The Colorado Prescription Drug Prior Authorization Request form, The New Hampshire Prescription Drug Uniform Prior Authorization Request Form. The purpose of this communication is the solicitation of insurance. Inpatient Clinical: 800-416-9195. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Medical Clearance Forms and Certifications of Medical Necessity. Phone - Call the AIM Contact Center at 866-455-8415, Monday through Friday, 6 a.m. to 6 p.m., CT; and 9 a.m. to noon, CT on weekends and holidays. Create your signature and click Ok. Press Done. Here youll find information on the available plans and their benefits. Medicare Advantage. State & Federal / Medicare. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. Code pairs reported here are updated quarterly based on the following schedule. This list may vary based on account contracts and should be verified by contacting 1-866-773-2884. PPO outpatient services do not require Pre-Service Review. %%EOF %PDF-1.6 % Prior authorization to confirm medical necessity is required for certain services and benefit plans as part of our commitment to help ensure all Blue Cross and Blue Shield of Illinois (BCBSIL) members get the right care, at the right time, in the right setting. * Services may be listed as requiring precertification (prior authorization) that may not be covered benefits for a particular member. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as eviCore, AIM or Availity. hbbd```b``+d3d] fIM|0+d:"Y`XM7`D2HO H2Xb R?H?G _q Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. Please note: This change is not applicable to the members enrolled in the Mercy Co-worker Plan as they have a customized prior authorization list. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Anthem offers great healthcare options for federal employees and their families. Please verify benefit coverage prior to rendering services. Medicare with Medicaid (BlueCare Plus SM ) Medicaid (BlueCare) TennCare. Code Bundling Rationale 2017 Q3 CPT Codes, Code Bundling Rationale 2017 Q2CPT Codes, Code Bundling Rationale 2017 Q1CPT Codes, Code Bundling Rationale 2016 Q4CPT Codes, Code Bundling Rationale 2016 Q3CPT Codes, Code Bundling Rationale 2016 Q2CPT Codes, Code Bundling Rationale 2016 Q1CPT Codes, Code Bundling Rationale 2015 Q4CPT Codes, Code Bundling Rationale 2015 Q3CPT Codes, Code Bundling Rationale 2015 Q2CPT Codes, Code Bundling Rationale 2015 Q1CPT Codes, Code Bundling Rationale 2014 Q4CPT Codes, Code Bundling Rationale 2014 Q3CPT Codes, Code Bundling Rationale 2014 Q2CPT Codes, Code Bundling Rationale 2014 Q1CPT Codes, Code Bundling Rationale 2013 Q4CPT Codes, Code Bundling Rationale 2013 Q3CPT Codes, Code Bundling Rationale 2013 Q2CPT Codes, Code Bundling Rationale 2013 Q1CPT Codes, Code Bundling Rationale 2012 Q4CPT Codes, Code Bundling Rationale 2012 Q3CPT Codes, Code Bundling Rationale 2012 Q2CPT Codes, Code Bundling Rationale 2012 Q1CPT Codes, Code Bundling Rationale 2011 Q4CPT Codes, Code Bundling Rationale 2011 Q3CPT Codes, Code Bundling Rationale 2011 Q2CPT Codes, Code Bundling Rationale 2011 Q1CPT Codes, Code Bundling Rationale 2010 Q4CPT Codes, Code Bundling Rationale 2010 Q3CPT Codes, Code Bundling Rationale 2010 Q2CPT Codes, Code Bundling Rationale 2010 Q1CPT Codes, 1998-document.write(new Date().getFullYear()); BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the Blue Cross Blue Shield Association. Our Interactive Care Reviewer (ICR) tool via Availity is the preferred method for submitting prior authorization requests, offering a streamlined and efficient experience for providers requesting inpatient and outpatient medical or behavioral health services for our members. Access the BH Provider Manuals, Rates and Resources webpage here. FEP Medications requiring online prior authorization, Intravenous Immune Globulin (IVIG) Therapy, Stereotactic Radiosurgery Using Gamma Rays, Surprise Billing - Out-Of-Network Provider Notice, Ambulance -elective air transport only (10.0.005), Behavioral Health and Substance Use Disorder (Milliman Care Guidelines), Repetitive Transcranial Magnetic Stimulation (TMS), Inpatient Behavioral Health and Substance Use Disorder, Home health care (Criteria defined in the employer group benefit contract), Home Infusion Therapy (Criteria defined in the employer group benefit contract), Hospice (Criteria defined in the employer group benefit contract), Inpatient rehabilitation (Apollo Managed Care Physical Therapy, Occupational Therapy and Rehabilitation Care), Maternity Services- inpatient only, for stay greater than 48/96 hours (Criteria defined in the employer group benefit contract), Out-of-network services (Benefits available according to the member contract), Private Duty Nursing (Criteria defined in the employer group benefit contract), Skilled nursing facility admissions (Apollo Managed Care Physical Therapy, Occupational Therapy and Rehabilitation Care). Telephone: For inquiries that cannot be handled via NaviNet, call the appropriate Clinical Services number, which can be found here. The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. (Note: For changes to come later this year, refer to this notice, posted Dec. 31, 2020: New Prior Authorization Requirements for Advocate Aurora Health Members Will Take Effect April 1, 2021.). This list contains notification/prior authorization requirements for inpatient and outpatient services. Contact 866-773-2884 for authorization regarding treatment. Expedited fax: 888-235-8390. In Virginia, CareFirst MedPlus and CareFirst Diversified Benefits are is the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). To get started, select the state you live in. Anthem offers great healthcare options for federal employees and their families. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. rationale behind certain code pairs in the database. Effective February 1, 2019, CareFirst will require ordering physicians to request prior authorization for molecular genetic tests. Commercial. The latest edition and archives of our monthly provider newsletter. 2020 copyright of Anthem Insurance Companies, Inc. HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Select Auth/Referral Inquiry or Authorizations. These updates will be published on BCBST.com at least 30 days prior to the effective date of any additions, deletions or changes. The following summary and related prior authorization lists were posted on the Support Materials (Commercial) page the Utilization Management section of our Provider website as of Jan. 1, 2021: Commercial Communications Contracted and noncontracted providers who are unable to access Availity may call the number on the back of the members ID card. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. 0 Note: Blue High Performance NetworkSM (BlueHPNSM) members have limited benefits at the University of Maryland Medical System Downtown Campus. Noncompliance with new requirements may result in denied claims. Use of the Anthem websites constitutes your agreement with our Terms of Use. One option is Adobe Reader which has a built-in reader. Fax medical prior authorization request forms to: 844-864-7853 Plans for federal employees, retirees, retired uniformed service members, and active duty family members. Home Health/Home Infusion Therapy/Hospice: 888-567-5703. (Note: For changes to come later this year, refer to this notice, posted Dec. 28, 2020: Commercial Prior Authorization Code Changes, Effective April 1, 2021. Please verify benefit coverage prior to rendering services. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Forms and information to help you request prior authorization or file an appeal. . Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, 2021 Commercial Prior Authorization Requirements Summary, 2021 Commercial Outpatient Medical Surgical Prior Authorization Code List, 2021 Commercial Specialty Pharmacy Prior Authorization Drug List, 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List, New Prior Authorization Requirements for Some Custom Account Members Will Take Effect Jan. 1, 2021, 2021 Medicaid Prior Authorization Requirements Summary, 2021 Medicaid Prior Authorization Code List, 2021 MA PPO Prior Authorization Requirements Summary, 2021 MA PPO Prior Authorization Code List, BCBSIL Provider Network Consultant (PNC) team, Update: Utilization Management Change for Advocate Aurora Health Members, Effective Jan. 1, 2021 This News and Updates was posted Dec.15, 2020, and updated Dec. 31, 2020 to reflect a corrected phone number. For your convenience, we've put these commonly used documents together in one place. BlueCross BlueShield of Tennessee is a Qualified Health Plan issuer in the Health Insurance Marketplace. To view this file, you may need to install a PDF reader program. 477 0 obj <>/Filter/FlateDecode/ID[<530E5E682DBDAA468541E11BFAD96BAD>]/Index[451 44]/Info 450 0 R/Length 122/Prev 255106/Root 452 0 R/Size 495/Type/XRef/W[1 3 1]>>stream Do not sell or share my personal information. Part B Step Therapy (204 KB) Drug step therapy is a type of prior authorization that requires one drug (or drugs) to be tried for a medical condition prior to utilizing other drugs; the steps typically require lower cost drugs or drugs with better clinical outcomes to be tried first. Contact 866-773-2884 for authorization regarding treatment. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. The prior authorization information in this notice does not apply to requests for HMO members. For costs and complete details of the coverage, please contact your agent or the health plan. This tool does not reflect benefits coverage* nor does it include an exhaustive listing of all noncovered services (in other words, experimental procedures, cosmetic surgery, etc. Or In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. * Once logged in to Availity at http://availity.com, select Patient Registration > Authorizations & Referrals, then choose Authorizations or Auth/Referral Inquiry, as appropriate. Here are links to some recent communications that were posted to notify you of important changes: Government Programs Prior Authorization Summary and Code Lists An Anthem (Blue Cross Blue Shield) prior authorization form is what physicians will use when requesting payment for a patient's prescription cost. Prior authorization list. Please check your schedule of benefits for coverage information. Its important to remember that benefit plans differ in their benefits, and details such as prior authorization requirements are subject to change. ICR offers a fast, efficient way to securely submit prior authorization requests with clinical documentation. This new site may be offered by a vendor or an independent third party. In Kentucky: Anthem Health Plans of Kentucky, Inc. You can use the PriorAuthorizationLookupTool or reference the provider manual to determine if authorization is needed. Use the Prior Authorization tool within Availity, or Contact Provider Services To submit a precertification request: Log in to Availity. Prior Authorization Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). COVID-19 Information - New Hampshire - Publication RETIRED as of November 8, 2022. BlueCross BlueShield of Tennessee uses a clinical editing database. 711. Commercial non-HMO prior authorization requests can be submitted to AIM in two ways. Most PDF readers are a free download. ICR in Availityfor all notifications or prior authorization requests, including reporting a members pregnancy. We encourage providers to use A prior approval is required for the procedures listed below for both the FEP Standard and Basic Option plan and the FEP Blue Focus plan. Summaries and code lists are posted as a reference to help you determine when prior authorization may be required for non-HMO government programs members. ) refer to your, Access eligibility and benefits information on the, Use the Prior Authorization Lookup Tool within Availity or. Information about benefits for your patients covered by the BlueCard program. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Effective February 1, 2019, CareFirst will require ordering physicians to request prior authorization for molecular genetic tests. Medicare Coverage with Anthem Medicare Information Medicare Coverage and Enrollment Turning 65 Medicare Advantage Plans: Part C Medicare Part D Plans Medicare Supplement Plans (Medigap) Dental and Vision Coverage CareCare What to Know Getting Better Care Preventive Health Find Care Medicare Caregiver Resources SupportSupport Login Registration Please refer to the criteria listed below for genetic testing. Access eligibility and benefits information on the Availity Web Portal or Use the Prior Authorization Lookup Tool within Availity or Contact the Customer Care Center: Outside Los Angeles County: 1-800-407-4627 Inside Los Angeles County: 1-888-285-7801 Customer Care Center hours are Monday to Friday 7 a.m. to 7 p.m. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. The notice also refers to a medical policy for more information to help clarify when and how prior authorization requirements may apply. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 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