Medical Policy and Precert/Preauth for Out-of-Area Members

Use this form to view the out-of-area Blue Plan's medical policy or general precertification/preauthorization information.

Select the type of information requested.
Enter the first three letters of the member's identification number on the Blue Cross Blue Shield ID card.
Submit the form.

If you have questions, please contact 800.676.2583.

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Healthcare benefit programs issued or administered by Capital Blue Cross and/or its subsidiaries, Capital Advantage Insurance Company ® , Capital Advantage Assurance Company ® and Keystone Health Plan ® Central. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies.