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Authorization Manager
To use this tool, simply log in, click on this page in the eTools tab, and look for the Go Now button. No additional username or password is necessary. Not registered for Provider Central? Find out who can register.
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Key features

You can enter and verify referrals in Authorization Manager. Learn more about referrals.

For authorization requests, Authorization Manager offers the comprehensive feature set shown below.


Useful search tools

  • Search member-specific authorization requirements by code
  • Search by provider number to look up multiple patients at the same time

Easy request submission

  • Submit requests for mental health, medical, or surgical services (excluding oral surgery)
  • Upload documentation to support clinical review

Flexible status verification

  • View the status of requests for all Massachusetts members*
  • Check the status of requests submitted via Authorization Manager, phone, fax, and vendors such as AIM Specialty Health and WholeHealth Networks (Tivity)

Automatic approvals

  • Receive automatic authorization for hip, knee, or spine surgery if InterQual criteria are met and the member’s eligibility is active

* You cannot use Authorization Manager for members who belong to a New England Blue Cross Blue Shield plan and have an out-of-state primary care provider.

Authorization Manager does not impact referral transactions in other eTools.

Tips for member searches

If your member search produces no results, it could be because you included a prefix, or the member has a sibling with the same birth date.

  • Prefixes. Omit the ID prefix unless your patient is in the Federal Employee Program (include the "R" for FEP members).
  • Twins and multiple births. At this time, Authorization Manager will not return eligibility if the patient has a sibling with the same birth date. While we work to correct this issue, please fax your request or call us.
Guides and video demonstrations

   Guides (PDFs)

Topic Guide or Quick Tip
Multiple services
PCP outpatient service requests
PCP outpatient specialist referrals
Medical inpatient requests
Medical services (outpatient requests)
Behavioral health inpatient requests
Behavioral health outpatient requests

   Video demonstrations

Request type Video
Referrals
All authorizations
Medical services: Inpatient
Medical services: Ambulance requests
Medical services: Elective requests
Medical services: Fertility Services/Assisted Reproductive Technology (ART)
Medical services: Outpatient rehabilitation and home health care
Mental health services: Outpatient
Mental health services: Inpatient
Individual Consideration and other determinations

If you need an Organizational Determination, Advanced Benefit Determination, or Individual Consideration, please fax us at the appropriate number listed below:

For a member belonging to this plan Fax your request to:
Commercial HMO, PPO, POS, and Indemnity Fax 1-888-282-0780
Medicare Advantage HMO and PPO Fax 1-800-447-2994
Federal Employee Program (FEP) Contact your local plan. In Massachusetts, fax
1-888–282–1315
Contact us
  • If you are contracted with Blue Cross Blue Shield of Massachusetts and have any questions about Authorization Manager, please contact us at hmmauthorizationmanager@bcbsma.com.
  • To contact us regarding an authorization request, please use the appropriate fax or phone number on our Prior Authorization Overview page.