Hospital Admission Pre-Certification/Pre-Notification Requirements
For more information, please see the member's health plan ID card for the toll-free
number to call. If you have questions about any of the requirements listed below,
call the Customer Service or Provider Service number on the back of the ID card.
Admission Pre-Certification Requirements for Arkansas Blue Cross and Blue Shield and its Affiliates
|
|
Product Line
|
Inpatient Admission Pre-Certification
|
Outpatient Pre-Certification
|
|
Arkansas Blue Cross and Blue Shield
|
NO
Exceptions: Federal Employees (FEP) and out of network
|
NO
|
|
Federal Employee Program (FEP)
|
YES
Please note: All FEP ID cards have the Arkansas Blue Cross logo and begin
with "R"
|
NO
|
|
Access Only
|
YES
Please note: Any ID card with the Arkansas' FirstSource logo (without the
Blue Cross and Blue Shield symbols) requires pre-certification
|
NO
|
|
Health Advantage
|
NO
Exception: out of network
|
NO
|
|
BlueAdvantage Administrators of Arkansas
|
Refer to employer plan document
|
Refer to employer plan document
|
If you have questions regarding pre-certification requirements for any of our products,
please call Customer Service.
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