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Federal Employee Program (FEP) authorization list | Wellmark
https://www.wellmark.com/provider/medical-policies-authorizations/fep-authorizations
WEBFederal Employee Program (FEP) medical authorizations. A prior approval, or PA, review determines medical necessity and considers FEP benefits before a treatment, procedure, service, or supply is provided. 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.
DA: 22 PA: 54 MOZ Rank: 84
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Claim Forms - Blue Cross and Blue Shield's Federal Employee …
https://www.fepblue.org/claim-forms
WEBPrior Approval Pharmacy Forms. For more information about Pharmacy Prior Approval and the required forms visit the Prior Approval page.
DA: 87 PA: 99 MOZ Rank: 99
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Prior authorization - FEP Blue
https://www.fepblue.org/faqs/-/media/FEPBlue-Sitecore-10-Media/PDFs/Brochures/PriorAuthorization_r2a.pdf?la=en&hash=21EF624393984BE31C9F7DFC9D485383
WEBCertain medical services and treatments need prior authorization before you receive care. Depending on the type of care you require, you may need pre-approval (in the form of a prior authorization, precertification or both). We review the service or treatment to ensure it is medically necessary.
DA: 5 PA: 93 MOZ Rank: 72
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FAQ - Pharmacy - Blue Cross and Blue Shield's Federal …
https://www.fepblue.org/faqs/faq-pharmacy
WEBMost drugs are covered without requiring prior approval. However, some select drugs require your doctor to provide information about your prescription to determine coverage. Your doctor can submit prior approval electronically, by fax or by mail.
DA: 43 PA: 68 MOZ Rank: 58
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How to request precertification for an admission or get approval …
https://www.2023-fep-blue-focus.fepbrochures-bcbsa.com/057a4492-6ad6-489e-93db-ec11df809437_5d7949a3-b16d-43e2-ba24-9c5aea4f880a.html?v=61546&ip=kjo8gz5gc02rdiayixomzq
WEBYou must contact us with a request for a new approval five (5) business days prior to a change to the approved original request, and for requests for an extension beyond the approved authorization period in the notice you received. We will advise you of the information needed to review the request for change and/or extension.
DA: 38 PA: 95 MOZ Rank: 20
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You need prior Plan approval for certain services
https://www.2024-fep-blue-focus.fepbrochures-bcbsa.com/d8e11c77-4f93-40aa-9e22-1e9a4f95dc5d_94fb984e-b7bf-4b01-8c26-cf0943ed6ebd.html?v=17924&ip=qwygfpdufuspqajguqmpa
WEBBe sure to read all of the following precertification and prior approval information. Our FEP medical policies may be found by visiting www.fepblue.org/policies . © 2023 Blue Cross Blue Shield Association.
DA: 40 PA: 23 MOZ Rank: 64
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Federal Employee Program (FEP) Quick Reference Guide
https://member.bcbstx.com/provider/pdf/fep_qrg.pdf
WEBPrior authorization is required from BCBSTX for all inpatient, partial hospitalization and outpatient behavioral health services. To obtain prior authorization, call: BCBSTX 1-800-528-7264 Refer to the online Blue Choice PPO Provider Manual (Section I) for more detailed information. Prior authorization must be obtained prior to the delivery of
DA: 98 PA: 5 MOZ Rank: 70
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Blue Cross and Blue Shield Federal Employee Program Waives …
https://www.bcbs.com/press-releases/blue-cross-and-blue-shield-federal-employee-program-waives-cost-shares-and-prior-authorizations-for-coronavirus
WEBMar 9, 2020 · WASHINGTON – The Blue Cross and Blue Shield Federal Employee Program® (FEP®) announced today that it will waive cost-sharing for coronavirus diagnostic testing, waive prior authorization requirements for treatment and take other steps to enhance access to care for those needing treatment for COVID-19 to ensure its …
DA: 33 PA: 76 MOZ Rank: 21
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Federal Employee Program Updates to Prior Authorization …
https://www.bcbsil.com/provider/education/education-reference/news/2023/12-19-2023
WEBDec 19, 2023 · Updates to Prior Authorization Requirements and Benefits. December 19, 2023. As of Jan. 1, 2024, the following changes will be in effect for FEP ® policy types: For Standard and Basic, hearing aids will require prior authorization and will not be covered with a post service review.
DA: 10 PA: 84 MOZ Rank: 13
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Federal Employee Program (FEP) Updates to Prior Approval …
https://eauth.bcbstx.com/provider/education/education/news/2023/11-17-23-fep-updates-pa-benefits
WEBNov 17, 2023 · FEP® Updates to Prior Approval Requirements and Benefits. 11/17/2023. As of January 1, 2024, the following changes will be in effect for FEP policy types: For Standard and Basic, Hearing Aids will require Prior Approval and will NOT be covered with a post service review.
DA: 75 PA: 91 MOZ Rank: 69
