Name of Manual - Blue Cross and Blue Shield of Minnesota

BlueCard®
Prior Authorization and
Preadmission
Notification
Any required prior authorizations and/or preadmission
notifications for members covered by a Blue plan besides Blue
Cross must go through the member’s plan. In these cases, the
member is responsible for obtaining prior authorizations and
preadmission notifications. However, as a courtesy, you may
contact their plan directly for authorizations using the phone
number listed on the back of the member’s ID card or by accessing
the Medical Policy/Precertification/Prior Authorization Router via
providers.bluecrossmn.com
When the length of an inpatient hospital stay extends past the
previously approved length of stay, any additional days must be
approved. Failure to obtain approval for the additional days may
result in claims processing delays and potential payment denials. If
prior authorization or preadmission notification is not obtained and
is required by the patient’s contract, the patient will be liable for
the charges. To avoid delays in the processing of your claims,
please assure the necessary approval(s) are obtained in advance of
services being rendered.
7-10 Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (12/30/10)