Select your member’s health plan to determine which prior authorizations are required
It’s important to remember that benefits vary based on the service being rendered and individual and group policy elections. Always check eligibility and benefits first, through Availity® or your preferred web vendor. This step will help you confirm coverage and other important details, such as prior authorization requirements and vendors, if applicable.
Please Note:
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BCBS Illinois commercial health plans:
| Products included | Services requiring prior authorization |
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BCBS Montana commercial health plans:
| Products included | Services requiring prior authorization |
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BCBS New Mexico commercial health plans:
| Products included | Services requiring prior authorization |
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Blue Cross and Blue Shield of New Mexico Medicaid
| Products included | Services requiring prior authorization |
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BCBS Oklahoma commercial health plans:
| Products included | Services requiring prior authorization |
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BCBS Texas commercial health plans:
| Products included | Services requiring review |
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Frequently asked questions
provider portal
Submit prior authorization and post service medical necessity review requests to Carelon online:
Submit prior authorization and post service medical necessity review requests to Carelon online:
- Provider portal directly at providerportal.com
- Online access is available 24/7 to process orders in real time and is the fastest and most convenient way to request prior authorization.
- If you need technical support with provider portal or registration for the provider portal training sessions, please contact 1-800-252-2021, option 2,
7 AM – 6 PM CT weekdays
(6 AM – 5PM MT)
Carelon is an independent company that has contracted with Blue Cross and Blue Shield Plans of Illinois, Montana, New Mexico, Oklahoma, and Texas, to provide named service for members with coverage through plans in BCBSIL, BCBSMT, BCBSNM, BCBSOK, BCBSTX,.
BCBSIL, BCBSMT, BCBSNM, BCBSOK and BCBSTX make no endorsement, representations or warranties regarding third-party vendors and the products and services offered by them..