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Pre-authorization

Medical and Behavioral Health Pre-authorization Lists

Other Utilization Management Programs

Pharmacy Prior Authorization

Blue Plans obtaining pre-authorization information for Regence members
Members of some group health plans may have terms of coverage or benefits that differ from the information presented here. Refer to the Important Pre-authorization Reminders section for details. To verify coverage or benefits or determine pre-certification or pre-authorization requirements for a particular member, call 1-800-676-BLUE or send an electronic inquiry through your established connection with your local Blue Plan.

Regence providers obtaining pre-authorization information for out-of-area (BlueCard®) members
Use our online tool to be automatically routed to the home plan's pre-authorization / pre-certification requirements. Launch the tool.