Availity Login

Medical Review


Pre-certification / Preauthorization

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 (BCBSKS) and is provided for reference only.  This information is NOT to be relied upon as preauthorization or pre-certification for health care services and is NOT a guarantee of payment.  To verify coverage or benefits or determine pre-certification or preauthorization requirements for a particular member, call 800-676-BLUE or send an electronic inquiry through your established connection with your local Blue Plan.


Pre-certification / Preauthorization information for out-of-area members

To view the out-of-area Blue Plan's general pre-certification/preauthorization 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.


Pre-certification required

All in-patient medical stays (requires secure login with Availity)
800-782-4437
All in-patient mental health stays
800-952-5906
All home health and hospice services
800-782-4437
Transplants with the exception of cornea and kidney
800-432-0272

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

Predetermination required

Please complete and fax the BCBSKS predetermination request for the following policy:

Prior authorization required

Drugs contained within the following policies must be prior authorized by completing and faxing the applicable BCBSKS form embedded within each policy below:


All other drugs may be prior authorized electronically by completing the prior authorization form through CoverMyMeds. If you need medical policies for these drugs, you will find a list below the CoverMyMeds form.

Prior authorization required

If you have the BlueEdge/ResultsRx formulary or your medical policy is not found below, please review the list found here.

Prior authorization required