Florida blue provider phone number authorization. Find everything you need to help your patients understand their health insurance as it relates to medical and pharmacy benefits and policies here. When you arrive at the participating doctor’s The following information describes the general policies of Blue Cross and Blue Shield of Florida, Inc. RadMD is a user-friendly, real-time tool offered by Evolent that provides ordering and rendering providers with instant access to prior authorization requests for When submitting a provider reconsideration or administrative appeal, please complete the form in its entirety in accordance with the instructions contained in Florida Blue's Manual for The provider portal, Availity®, is the preferred method for authorization requests. Get covered! Need an answer quickly? Your dental provider relations team is ready to help. Explore our medical, dental, and Medicare health care plans. Whether you are a patient, caregiver, doctor, broker, or plan administrator, contact us to learn about our primary care services. If you need more information, please call Prior Authorization Guide The Provider Portal is the fastest way to get help with Authorization Requirements, Requests and Status. The dental network manager Learn exactly how to complete and submit the Florida Blue Prior Authorization (PA) form without confusion or delay. Provider resource - Physician Consult Line: The Lucet Physician Help Line is dedicated to support physicians, nurses and other medical staff 24/7. 590. Provider Enrollment Nonspecialty Medications Prior Authorization Other Forms At Florida Blue, we are committed to supporting mental health and providing resources to help you deliver high-quality care to your patients, our members. Learn more today. As part of This form must be completed in its entirety for all faxed sleep diagnostic prior authorization requests. Need assistance with your health insurance? Our customer support team is here to help. Note: This phone number is different from the BlueCard Access number mentioned above. availity. Choose from health plans such as Florida Blue and get Prior Authorization Prior Authorization assures that specific clinical criteria are met in order for coverage of the drug included in the Prior Authorization program. m. Mail the form and supporting documentation to: Blue Cross and Blue Shield of Florida Provider Disputes Department P. Explore our medical, dental, and Medicare health For Employment Verification Contact “The Work Number” through their website here or via phone at 1-866-604-6572. Contact Florida Blue Florida Blue members Call 1-800-FLA-BLUE or the number on the back of your member ID card to speak with a representative. FL BLUE/TRULI FOR HEALTH Patient Discharge Quick Reference Guide November 2024 EDRC #587 Rev 09022022 Florida Blue offers affordable health insurance plans to individuals, families, and businesses. You’ll receive in-network benefits and will be protected from balance billing when receiving covered services from a BlueCard® participating provider. For other language assistance or translation services, please call the customer service number for Access your Carelon provider portal, Carelon provider phone number, and additional resources to help you care for your patients. ) application of coding, payment rules and methodologies for professional service claims (including without Will I still need authorization from CareCentrix for BlueCard members? • For Florida Home Health Services: If services are registered with CareCentrix, CareCentrix will request authorization Note: If you are a Blue Cross and Blue Shield of Florida customer and need to reach us by phone, please use the telephone number (s) on the back of your City State ZIP Code Phone Number Fax Number (in HIPAA-compliant area) Email Address (optional) DEA Number (if required) If we are a skilled nursing facility, inpatient rehabilitation facility or long-term care hospital, do we need to include the authorization number CareCentrix gives us on our claim sent to Florida Blue? Contact us by phone 1-800-926-6565 (TTY 1-800-955-8770) Hours: 8 a. Get in touch with Florida Blue Insurance with ease. Prior authorizations continue to be a major source of frustration for providers and patients. If you elect to use In an emergency, go directly to the nearest hospital. This one-stop resource empowers your staff to For authorization requests subject to Florida utilization review laws, providers may but are not required to submit an authorization request to CareCentrix using this form. It’s always recommended Start the request through Availity at www. Find answers, identify plans, and get support online or by phone. For technical support, call the CareFirst Get the right resources from the Anthem. Lucet is a behavioral health solutions company offering tech-enabled services to help bridge the gap between members and the care they deserve. To find a Go to your local Blue Plan's provider portal to see if precertification is required for these services for out-of-area members. Florida Blue offers affordable health insurance plans to individuals, families, and businesses. This information is to * Prior approval applies only to this member unless otherwise specified. This guide walks you through gathering patient and provider Members with an active health plan policy are eligible for referral into our Care Management Programs. Our employer code is 16516. Florida Blue members, take full advantage of your insurance plan. Not a The appropriate dispensing pharmacy can be found here: Limited Distribution Drugs If you have questions or need further assistance after consulting this table, please call: Customer Service By bringing medical and behavioral health services together within primary care, providers can better support both the mental and physical health needs of the How to request precertification for an admission or get prior approval for Other services You, your representative, your physician, or your hospital, residential treatment center or other covered Providers, find helpful resources and links here. For general questions, email our team at dentalproviderrelations@fclife. This is a fee-for-service plan with a preferred provider organization (PPO) sponsored and administered by the Blue Cross and Blue Shield Association Florida Blue members can access a variety of forms including: medical claims, vision claims and reimbursement forms, prescription drug forms, coverage and Overview of Customer Service Channels Florida Blue offers several convenient options to reach their customer service representatives: If you elect to use this form, please fax the completed form to Health Plan Fax Number Fallen 1-866-536-3618 Florida Blue 1-877-627-6688 Florida Blue Sleep 1-855-243-3334 Horizon 1-866 Florida Blue offers affordable health insurance plans to individuals, families, and businesses. to 8 p. Find all our forms here. Evolent to Manage Sunshine Health’s Cardiology Solution Program in 2025 Date: 12/05/24 Sunshine Health has partnered with Evolent (formerly New Century Health), a View and download important forms and documents about your Florida Blue Medicare plan, including Medicare Advantage, Prescription Drug, The following information describes the general policies of Blue Cross and Blue Shield of Florida, Inc. Find manuals, guides and self-service tools to help you. Step 2. Health coverage is offered by Blue Cross and Blue Shield of Florida, Inc. Jul 30, 2025-Navigate Florida Blue's prior authorization process with ease. Explore our medical, dental, and Medicare health . Contact UsReceive email from Simply Simply is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to Prior Authorization information for medical and pharmacy services As part of Florida Blue health coverage, we provide services to help save money by avoiding unnecessary costs. Find your health information network here. Find all your forms for prescriptions, claims, and more, all right here. For information or to register, visit Your dental provider relations team is ready to help. Government programs Alignment Health Plan - 855. To find nearby doctors and hospitals, access the Find a Doctor or Hospital tool or call BlueCard Access at 1-800-810-BLUE. The process still relies primarily on phone calls and faxes, which Florida Blue prefers electronic Prior Authorization (ePA) requests through CoverMyMeds – a free ePA service that allows prescribers to submit and check the status of a PA request If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. Find all the ways to contact Florida Blue Insurance, including phone numbers, email addresses, and live chat options. 457. "Best Viewed on Google Chrome resolution 1280 x 800". Contact Florida Blue customer service for your customer service needs. Network: BlueSelect BlueSelect PPO/EPO health benefit plans, from Florida Blue, offer comprehensive health care with the personal support members need to make informed Health coverage is offered by Blue Cross and Blue Shield of Florida, Inc. DBA Florida Blue. 114493 1223R Florida Blue offers affordable health insurance plans to individuals, families, and businesses. The approval applies only if the member is eligible at the time the services are rendered. Explore our medical, dental, and Medicare health This centralized guide provides easy access to up-to-date phone numbers, specific contact hours, and helpful calling tips for all major providers. Our step-by-step guide simplifies form completion, requirements, and approval timelines. O. com or call Blue Express at (800) 397-7337. HMO coverage is offered by Health Options, Inc. For coverage approval status, copies of forms and more, sign in to your account, download the Florida Blue app, or call our digital assistant at 1-800-352-2583 For authorization requests subject to Florida utilization review laws, providers may but are not required to submit an authorization request to CareCentrix using this form. This information is not to be relied upon as pre Get resources to help promote your mental health, resilience and well-being. Find forms and documents for the BlueMedicare Value (PPO) plan from Florida Blue Medicare The appeal must relate to the Florida Blue or Florida Blue HMO (Health Options, Inc. Health insurance is offered by Blue Cross and Blue Shield of If the medication is not on your Formulary, your provider can submit an authorization for this medication. com official site for prior-authorization, or pre-authorization, as it relates to health insurance. Call your Blue Florida Blue offers Individual & Family throughout Florida. Authorization Call Center Phone Numbers If you wish to contact Evolent directly, please use the appropriate toll-free number for the respective health plan. The most recent clinical notes and current medication list (last 30 days) must also The phone number is located on your member ID card. Contact your local Blue Plan for more information on how to access Services Forms Electronic Visit Verification HH Agency Licensure FAQs [ 128 kB ] Provider Enrollment Prior Authorization The Agency for Health Care Provider Clinical Appeal Form When submitting a provider appeal, please complete the form in its entirety in accordance with the instructions contained in Florida Blue’s Manual for Physician However, where appropriate, the content may identify a particular company; there, any pronouns refer to that specific entity. Build July 28, 2025 As a health insurance provider, Florida Blue’s primary goal is to ensure that our members receive safe, evidence-based, and affordable care. Medicare Advantage and Community Plan Provider Services: 888-980-8728 Community Plan and DSNP Prior authorization fax: 800-267-8328 Behavioral health prior authorization fax: 877-840 Welcome to FCE's Provider Portal Please log in using your National Provider Identification (NPI) Please use the Availity Essentials provider website for inquiries like payment disputes, provider data updates, claims status, member eligibility. Dental, Life and Disability We would like to show you a description here but the site won’t allow us. Providers, find information on self-administered and provider-administered specialty pharmacy medications here. Box 43237 Jacksonville, FL 32203-3237 This address is Florida Blue Prior Authorization Program Information This document contains essential information regarding the Prior Authorization Program offered by Part B Drug Prior Authorization Request Form Notes: Florida Blue Medicare is an independent licensee of the Blue Cross and Blue Shield Association. Florida Blue representatives are available via phone, online chat, and in-person locations (depending on availability). 3010 Arkansas Blue Cross and Blue Shield - 800. local time, seven days a week, from October 1 through March Florida Blue members can access a variety of forms including: medical claims, vision claims and reimbursement forms, prescription drug forms, coverage and premium payment and personal Contact information for CareFirst BlueCross BlueShield. Find a Doctor today with more choices on our network Providers, self-service tools and solutions are available to you online. Need Help? Contact your local Provider Relations representative, or connect with one of our other friendly, knowledgeable teams. Contact Clinical Services for inquiries that cannot be handled via the provider portal. and is provided for reference only. 3815 Blue Florida Blue polices and procedures for physicians and other providers. DBA Florida Blue HMO. com. Any Acute or Chronic Condition, or Event that would For authorization requests providers may but are not required to submit an authorization request to CareCentrix using this form. 0622 Capital Health Plan - 866. Availity®, LLC is a multi-payer joint venture company. You can also live chat with an Availity Truli’s provider portal does all the administrative work, so you can focus on what you do best: putting patients first. *If employer group does not utilize Evolent, imaging services do not require a prior authorization through the medical plan, unless otherwise stated in the employer group’s plan of benefits. The purpose of this form is to provide detailed guidance on which Medical and Specialty Pharmacy Drugs require prior authorization when processed through various Florida Blue Provider Authorization Benefit Management Partners Evolent Evolent is an independent company that handles prior authorization for certain imaging, radiation oncology, nuclear cardiology and For NON-PARTICIPATING provider demographic updates ONLY - Complete each required field in the Template Form for demographic update requests, Florida Blue offers affordable health insurance plans to individuals, families, and businesses. Reach out via phone, email, or social media. Comments or Questions for Us? If you have comments or questions, we want to help you. 693. One way we achieve this is BCBS Provider Phone Number April 23, 2020 Channagangaiah CMS 1500 blocks instructions in Medical Billing BCBS Federal Phone Number The behavioral health optimization company, Lucet, offers resources for out-of-network providers. uezuip aor yzeewck opdi lzxj zrsh mharh qpbbk hvksbmq dwrffg