Availity Login

Medical Review

Precertification / Pre-authorization

Need to create a new pre-certification request for your patient or to view the status of an existing pre-certification request?
Visit the secure pre-certification section.

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 and Blue Shield of Kansas 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 800-676-BLUE or send an electronic inquiry through your established connection with your local Blue Plan.

Precertification/Pre-authorization Information for Out-of-Area Members

To view the out-of-area Blue Plan's general precertification/pre-authorization information,enter the first three letters 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

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

Precertification Required

All in-patient medical stays (requires secure login with Availity)
All in-patient mental health stays
All home health and hospice services
Transplants with the exception of cornea and kidney

Pre-Determination / Prior-Authorization Required

Disclaimer: Some employer groups have some specific items that require prior authorization. Call for more information.