A service or medication may require a prior authorization based on your patient’s plan. You can request an electronic prior authorization by continuing below. Please note that a Blue KC provider portal account is required for submitting and reviewing prior authorizations. Review or Submit Prior Authorizations
You may also submit requests by fax, mail or prior auth eForms. Please include any supporting medical information in your request. Check the status of an existing request using the customer service number listed on the member ID card. Commercial, Affordable Care Act (ACA), FEP, and JAA Plans +
Medicare Advantage (MA) Plans +MA Prefixes: RRK or RKN MA eForms
MA Blue KC Prior Authorization Form - Medical Services, Procedures, and Equipment
MA Blue KC Prior Authorization Form - Part B Medications
MA Blue KC Prior Authorization Form - Part D Medications MA PDF Forms
MA Blue KC Prior Authorization Form - Medical Services, Procedures, and Equipment
MA Blue KC Prior Authorization Form - Part B Medications
Radiology Services MA Plan Members Medical Service, Procedure, or Equipment Fax Requests:
(877) 549 - 1744 MA Plan Member Part B Medication Fax Requests:
(816) 398 - 6547 MA Plan Members Medical Service, Procedure, or Equipment Mail-in Requests:
Central Operations (COPS) Blue KC MA & ACA
P.O. Box 419169
Kansas City, MO 64141
Blue KC Provider Portal for Prior Authorization Requests will be offline from July 26th at 9 p.m. to July 29th at 7 a.m. Please see the applicable fax numbers below if needing to submit a request during this time. Commercial Plan Members Medical Service, Procedure, or Equipment:
(816) 926-4253
Prior Authorization General Request for Elective Surgery, Procedure, Service or DME Form Please Print and Fax Commercial Plan Members Medication:
(816) 926-4253
Prior Authorization Medications Please Print and Fax MA Plan Member Part B Medications:
(816) 398-6547
Part B Drug Prior Authorization Request Form Please Print and Fax MA/ACA Plan Members Medical Service, Procedure, or Equipment:
(877) 549-1744
MA Prior Authorization General Request for Elective Surgery, Procedure, Service or DME Please Print and Fax
ACA Prior Authorization General Request for Elective Surgery, Procedure, Service or DME Please Print and Fax ACA Plan Member Medications:
(816) 995-1597
Medical Drug Prior Authorization Request Form Please Print and Fax
A service or medication may require a prior authorization based on your patient’s plan. You can request an electronic prior authorization by continuing below. Please note that a Blue KC provider portal account is required for submitting and reviewing prior authorizations. Review or Submit Prior Authorizations
You may also submit requests by fax, mail or prior auth eForms. Please include any supporting medical information in your request. Check the status of an existing request using the customer service number listed on the member ID card. Commercial, Affordable Care Act (ACA), FEP, and JAA Plans +
Medicare Advantage (MA) Plans +MA Prefixes: RRK or RKN MA eForms
MA Blue KC Prior Authorization Form - Medical Services, Procedures, and Equipment
MA Blue KC Prior Authorization Form - Part B Medications
MA Blue KC Prior Authorization Form - Part D Medications MA PDF Forms
MA Blue KC Prior Authorization Form - Medical Services, Procedures, and Equipment
MA Blue KC Prior Authorization Form - Part B Medications
Radiology Services MA Plan Members Medical Service, Procedure, or Equipment Fax Requests:
(877) 549 - 1744 MA Plan Member Part B Medication Fax Requests:
(816) 398 - 6547 MA Plan Members Medical Service, Procedure, or Equipment Mail-in Requests:
Central Operations (COPS) Blue KC MA & ACA
P.O. Box 419169
Kansas City, MO 64141