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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.
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Pre-Certification/Pre-Authorization Requirements (for Local Plan members)
PW_AD086915
2013 Precertification Guidelines
Local Self-Funded Groups Standard Precertification List – 2013
Anthem Blue Cross Blue Shield Central Region 2013 Consumer Directed Health Plans Precertification for IN-KY-MO-OH-WI
Anthem Blue Cross Blue Shield Central Region 2013 Blue Products Precertification List for IN-KY-MO-OH-WI
Anthem Blue Cross Blue Shield Central Region 2013 Blue Traditional Precertification List for IN-KY-MO-OH-WI
2012 Precertification Guidelines
Anthem Blue Cross and Blue Shield Central Region 2012 (Effective 3/5/2012) Consumer Directed Health Plans Pre-Certification List for Indiana, Kentucky Missouri, Ohio and Wisconsin
Anthem Blue Cross and Blue Shield Central Region 2011-2012 Consumer Directed Health Plans Pre-Certification List for Indiana, Kentucky Missouri, Ohio and Wisconsin
Anthem Blue Cross and Blue Shield Central Region 2012 (effective 3/5/12) Blue Products Pre-Certification List for Indiana, Kentucky, Missouri, Ohio and Wisconsin
Anthem Blue Cross and Blue Shield Central Region 2011-2012 (effective 9/6/11) Blue Products Pre-Certification List for Indiana, Kentucky, Missouri, Ohio and Wisconsin
Local Self Funded Groups Standard Pre-Certification Lists- 2012
Anthem Blue Cross and Blue Shield Central Region 2012 Blue Traditional® Pre-Certification List for Indiana, Kentucky, Missouri, Ohio and Wisconsin
2011 Precertification Guidelines
Anthem Blue Cross and Blue Shield Central Region 2011 Blue Products Pre-Certification List for Indiana, Kentucky, Missouri, Ohio and Wisconsin
Anthem Blue Cross and Blue Shield Central Region 2011 Consumer Directed Health Plans Pre-Certification List for Indiana, Kentucky Missouri, Ohio and Wisconsin
Local Self-Funded Groups Standard Precertification List – 2011
Local Self Funded Groups Standard Precertification List- 2011- new groups on or after 4/1/2011
Anthem Blue Cross and Blue Shield Central Region 2011 Blue Traditional® Pre-Certification List for Indiana, Kentucky, Missouri, Ohio and Wisconsin
2010 Precertification Guidelines
Anthem Blue Cross and Blue Shield Central Region 2010 Blue Products Pre-Certification List for Indiana, Kentucky, Missouri, Ohio and Wisconsin
Anthem Blue Cross and Blue Shield Central Region 2010 Consumer Directed Health Plans Pre-Certification List for Indiana, Kentucky Missouri, Ohio and Wisconsin
Anthem Blue Cross and Blue Shield Central Region 2010 Blue Traditional® Pre-Certification List for Indiana, Kentucky, Missouri, Ohio and Wisconsin
2009 Precertification Guidelines
Anthem Blue Cross and Blue Shield Central Region 2009 Blue Products Pre-Certification List for Indiana, Kentucky, Missouri, Ohio and Wisconsin
Anthem Blue Cross and Blue Shield Central Region 2009 Consumer Directed Health Plans Pre-Certification List for Indiana, Kentucky Missouri, Ohio and Wisconsin
Anthem Blue Cross and Blue Shield Central Region 2009 Medicare Advantage Pre-Certification List for Indiana, Kentucky, Missouri Ohio, Wisconsin, Virginia
Anthem Blue Cross and Blue Shield Central Region 2009 Blue Traditional® Pre-Certification List for Indiana, Kentucky, Missouri, Ohio and Wisconsin
2008 Group Health Plans
Precertification Guide list for Lumenos Consumer Directed Health Plans
Precertification Guidelines for BlueAccess
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, BlueAccess Choice
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, BluePreferred®, BluePreferred® Plus
Standard Precertification List
California National Account Precertification List
Georgia National Account Precertification List
Missouri National Account Precertification List
New York based National Accounts Precertification List
Virginia based National Accounts Precertification List
2008 Individual and Family Plans
Precertification Guide list for Lumenos Consumer Directed Health Plans
Precertification Guidelines for BlueAccess
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