Virtual Health
is now available for select plans! Get expert healthcare for non-emergencies.
Register todayBlueprint Portal is a members-only website that will help you understand and manage your health plan so you’re able to find quality, patient-focused healthcare at the best possible price.
The primary coverage criteria of certain services must be established through a Prior Approval or pre-authorization process before they can be performed. Please refer to Availity Essentials portal, Health Advantage Coverage Policy or the member's benefit certificate to determine which services need prior approval.
What to include with the completed Prior Authorization Form "Use when a PA is required"
Please note: Not all services require prior authorization. You may contact customer service to determine what services require prior authorization. If the service does not require prior authorization, the service may be considered cosmetic, investigational, or may not be a covered benefit. We recommend you submit an Organizational Determination/Benefit Inquiry form. Failure to obtain any necessary authorizations may result in denial or reduction in benefits.
Our tool is currently under construction.