Preauthorization

Submit a Preauthorization

Access the tools you need to submit preauthorization (PA) and precertification requests quickly and efficiently.

NaviNet (preauth and precert)
NaviNet® Submit BCBSNE preauthorization and precertification requests quickly and securely through NaviNet’s online portal.
Universal PA Request (BCBSNE)

Use this form when NaviNet submission isn’t possible. For exceptions like hospice services, newborns not yet on the plan, out-of-state FEP members, or when member info isn’t found in NaviNet.

CoverMyMeds

Quickly manage and submit drug prior authorizations through the CoverMyMeds portal.

OON and OOS PA Request

Access the online form for BCBSNE preauthorization and precertification requests for services provided out of network or out of state.

Preauthorization Resources

Access the Preauthorization and Precertification policy for requirements and processing timeframes.

MedPolicy Blue

Access the list of services, procedures and medical policies requiring authorization (certification) prior to providing the service.

Preauthorization FAQs and eLearnings

Quick answers to common questions about submitting, checking, or managing preauthorization requests-all in one place.

Medical Pharmacy prior Authorization FAQs

Find answers to common questions about medical pharmacy prior authorization, including process tips and support resources.

MSK and IPM Preauthorization FAQs

Stay informed on musculoskeletal (MSK) and interventional pain management (IPM) authorization requirements, changes and helpful guidance.