Name of Manual - Blue Cross and Blue Shield of Minnesota

Integrated Health Management
Services Requiring Pre-Certification Utilization
Management Pre-Certification/Authorization
Requirements
Overview Medical and behavioral health policies are available for your use
and review on the Blue Cross website at
providers.bluecrossmn.com. From this site, there are two ways to
access medical policy information depending on the patient’s Blue
Plan membership.
Inpatient & Residential
Pre-Service Admission
Requirements
Out-of-area Blue Plan
Patients
For Local Blue Cross
Plan Patients
Note: Providers are required to report all inpatient admissions and
discharges to Blue Cross. Refer to “Where to Send
Requests” section.
Providers are required to report all inpatient admissions and
discharges to Blue Cross.
The member’s ID card has a number to call for precertification/pre-authorization
for inpatient admissions.
1. Under the Tools and Resources, select “Medical Policy”
2. Read and accept the Blue Cross Medical Policy Statement
3. Select “View All Active Policies.”
You have now navigated to the Blue Cross Medical and
Behavioral Health Policy Manual. Within in the manual, there are
several selections to assist with your inquiry.
1. Under the Tools and Resources, select “Medical Policy”
2. Read and accept the Blue Cross Medical Policy Statement
3. Select “View All Active Policies.”
You have now navigated to the Blue Cross Medical and
Behavioral Health Policy Manual. Within in the manual, there are
several selections to assist with your inquiry.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (06/19/12) 4-19