Real Time Notification of Preauthorization's and Predeterminations

Jun. 05, 2017

Original post May 31, 2017

Beginning July 1, 2017, BCBSMT will implement electronic facsimile (fax) notification of benefit preauthorization and predeterminations to the requesting provider. This enhancement provides a real time notification letter and eliminates the need for phone calls regarding status of preauthorization or predetermination requests while waiting on the mailed notification letters. The faxed notification will be in addition to the notification letter delivered via mail, to the mailing address we have on file for you.

Notifications will be faxed to the number on file for you, or the number listed on the utilization management or clinical request or clinical we received from you.  You can also check the status of your submitted request via iExchange.

As a reminder, because we are sending confidential protected health information (PHI) to your fax machine, it should be in a secure location that is not accessible to those who do not have the authority to review member/patient PHI.

If you do not wish to receive faxed notifications, please contact your BCBSMT Provider Network Representative.