You can now submit requests for twins and multiple birth members.
Watch our video demonstration to learn how.
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
Easy request submission
Flexible status verification
* 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.
When entering member information:
Tips for searching by the member suffix:
Reminder: Newborn babies will not appear in Authorization Manager until the subscriber adds them to their plan.
Please call or fax your request to us in these situations:
Subscribers employed by Steward Health Care
For subscribers employed by Steward Health Care, any requests for tier exceptions for them or their dependents must be submitted directly to Steward's Health Care Coordination Department.
|Guide or Quick Tip
|PCP outpatient service requests
|PCP outpatient specialist referrals
|Medical inpatient requests
|Medical services (outpatient requests)
|Mental health inpatient requests
|Mental health outpatient requests
|Oral Surgery authorizations for Medical Members
|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
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
|Medicare Advantage HMO and PPO
|Federal Employee Program (FEP)
Contact your local plan. In Massachusetts, fax