Pre-determinations are strongly recommended for those services indicated in medical policy as "sometimes investigational" or "not medically necessary." For a list of those services, review our Medical Policy.
To submit a pre-determination request, download a request form. For the most timely response, fax the form to 816-502-4910. Requests may also be mailed to:
Blue Cross and Blue Shield of Kansas City
Attention: Prior Authorization, Mail Stop B5A1
P.O. Box 411878
Kansas City, MO 64141-1878
Please include any supporting medical information in your fax. Please allow at least two business days from the date of receipt of all necessary information for a determination. To check the status of a prior authorization, call the Customer Service number listed on the member ID card.