Bcbs arkansas prior authorization list 2022

11037 High Sky Inn RdHindsville, AR 72738. October 13-16, 2022. Thurs.-Sat. 8:00am to 5:00pm. Sun. 8:00am to 4:00pm. ADMISSION IS FREE. Parking is $5/vehicle (Paid when.WebPlease refer to Availity Essentials portal, Arkansas Blue Cross Coverage Policy or the member's benefit certificate to determine which services need prior ... farmland management services jobs Health insurance can be complicated—especially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). We’ve provided the following resources to help you understand Anthem’s prior authorization process and obtain authorization for your patients when it’s required. EOCCO Prior Authorization List- October 2022 EOCCO Prior Authorization List Effective 10/01/2022 Codes Service Description 53854 Transurethral destruction of prostate tissue; by radiofrequency generated water vapor 0143U, 0144U, 0145U, 0146U, 0147U 0148U, 0149U, 0150U Drug assay, definitive, urine, quantitative liquid chromatography with tandemhttps://aimspecialtyhealth.com Retire effective 10/01/2022 22527 Musculoskeletal_Pain Idet 1 Or More Levels AIM Clinical Guidelines Call 1-866-455-8415 or Access Website https://aimspecialtyhealth.com Retire effective 10/01/2022 22532 Musculoskeletal_Joint, Spine Surgery Arthrd Lat Xtrcvtry Tq Thrc AIM Clinical Guidelines glencoe geometry chapter 10 test form 2b answer key Standard prior authorization requests should be submitted for medical necessity review at least five (5) business days before the scheduled service delivery date or as soon as the need for service is identified. Authorization requests may be submitted by fax, phone or secure web portal and should include all necessary clinical information ... books where the villain gets the girl Prior Authorization Requirements Summary Lists - 08/02/2022 Page 1 2022 BCBSAZ Prior Authorization Requirements . Compiled Summary Lists . TABLE OF CONTENTS . Revisions to one or more of the following prior authorization lists (changes are highlighted in yellow): Effective 08/02/2022 . PRIOR AUTHORIZATION REQUIREMENTS SUMMARY LISTSHealth insurance can be complicated—especially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). We’ve provided the following resources to help you understand Anthem’s prior authorization process and obtain authorization for your patients when it’s required. What’s Changing: Blue Cross and Blue Shield of Illinois (BCBSIL) is changing prior authorization requirements that may apply to some commercial non-HMO members. A summary of changes is as follows. April 1, 2022 – Addition of Musculoskeletal Current Procedural Terminology ® (CPT) codes to be reviewed by AIM Specialty Health ® (AIM) mikasa figuresPre-certification required. All in-patient medical stays (requires secure login with Availity) 800-782-4437. All in-patient mental health stays 800-952-5906. All home health and hospice services 800-782-4437. Transplants with the exception of cornea and kidney 800-432-0272. The Internet Explorer 11 browser application will be retired and go out of support on June 15, 2022. We're encouraging our users to go ahead and switch to Microsoft Edge, Google Chrome, Safari or Firefox.For example: ABC12345678. Here “ ABC” is BCBS alpha prefix. BCBS Alpha Numeric Prefix – It’s a three letter Alpha numeric prefix followed by id number. For example: A2A12345678. Here “ A2A” is BCBS alpha numeric prefix. BCBS FEP Prefix – BCBS Federal Employee Program is identified by the letter “R” followed by the number. For ... uk open darts results BlueAdvantage Administrators of Arkansas is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas. Copyright © 2001-2022 BlueAdvantage Administrators of ArkansasState Statistical Data. Trustmark Health Benefits Arkansas Statistical Claim Data AR CODE #14220, A.C.A 23-99-1105(d). Plan Precertification Requirements.Jan 01, 2022 · Prior Authorization Procedure Codes List for ASO Plans Effective 01/01/2022 (Updated to include code changes effective 10/01/2022) AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent medical benefits management company that provides utilization management services for Blue Cross and Blue Shield of Texas. Web mitosis and meiosis escape room answer key level 3 Arkansas Blue Cross and Blue Shield offers help to members who lost their medication in Hurricane Ian ... pre-authorization; Case Management ... health plans in all ... We are pleased to provide the 2022 Arkansas Blue Cross and Blue Shield Essential Complete Formulary as a useful reference and informational tool. This document can assist practitioners in selecting clinically appropriate and cost-effective products for their patients.What’s Changing: Blue Cross and Blue Shield of Illinois (BCBSIL) is changing prior authorization requirements that may apply to some commercial non-HMO members. A summary of changes is as follows. April 1, 2022 – Addition of Musculoskeletal Current Procedural Terminology ® (CPT) codes to be reviewed by AIM Specialty Health ® (AIM)Including Metallic health plans, Limited Duration, Short Term Blue and Health Advantage individual products. Also includes grandfathered plans: Blue Solution PPO, Blue Care PPO, Blue Care PPO Plus, BlueChoice, Comprehensive Blue PPO, HSABlue, HSABlue PPO II and HSABlue PPO Plus. Medicare plans Includes vision, hearing, and other providers. craigslist new paltz apartments list of bar rescue bars by state. bcbs al prior authorization phone number. ohio heap application 2022 3x4 hay bale weight Colorado Crime Report. airbag warning light 11037 High Sky Inn RdHindsville, AR 72738. October 13-16, 2022. Thurs.-Sat. 8:00am to 5:00pm. Sun. 8:00am to 4:00pm. ADMISSION IS FREE. Parking is $5/vehicle (Paid when. Prior Authorization Procedure Codes List for ASO Plans Effective 01/01/2022 (Updated to include code changes effective 10/01/2022) AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent medical benefits management company that provides utilization management services for Blue Cross and Blue Shield of Texas.Be Prepared for 2022 ... Some services may require prior authorization (pre-approval.) ... Check to see if your drug is on the 2022 Drug List. View Drug List ... raspberry pi destroys sd cards View the coverage policy, benefits, prior approval, referral reminders, Providers' News, and other important patient information. ... Arkansas Blue Cross and Blue ...Prior Authorization Procedure Codes List for ASO Plans Effective 01/01/2022 (Updated to include code changes effective 10/01/2022) AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent medical benefits management company that provides utilization management services for Blue Cross and Blue Shield of Texas.Pre-certification required. All in-patient medical stays (requires secure login with Availity) 800-782-4437. All in-patient mental health stays 800-952-5906. All home health and hospice services 800-782-4437. Transplants with the exception of cornea and kidney 800-432-0272. nonlinear solver did not converge To view the out-of-area Blue Plan's general pre-certification/preauthorization information, enter the first three letters of the member's identification number on the Blue Cross Blue Shield ID card, and click "GO." Alpha prefix: If you experience difficulties or need additional information, please contact 800-676-BLUE. Pre-certification required The Internet Explorer 11 browser application will be retired and go out of support on June 15, 2022. We're encouraging our users to go ahead and switch to Microsoft Edge, Google Chrome, Safari or Firefox.Health insurance can be complicated—especially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). We’ve provided the following resources to help you understand Anthem’s prior authorization process and obtain authorization for your patients when it’s required.11037 High Sky Inn RdHindsville, AR 72738. October 13-16, 2022. Thurs.-Sat. 8:00am to 5:00pm. Sun. 8:00am to 4:00pm. ADMISSION IS FREE. Parking is $5/vehicle (Paid when. Revised 9/1/2022. This document is an informational listing of the medications requiring a Prior Authorization through the Arkansas Medicaid Pharmacy.Arkansas Blue Cross and Blue Shield member contracts require prior authorization for the following: hospital services with anesthesia for complex dental conditions advanced diagnostic imaging in vitro fertilization and infertility applied 54 behavioral analysis durable medical equipment for which costs exceed $5000July 2022 BCBS Arkansas Medical Policy Updates: Autologous Stem-cell Therapy to Treat Peripheral Arterial Disease. Biventricular Pacemakers for the Treatment of Congestive Heart Failure. Bortezomib (e.g., Velcade) Brachytherapy, Prostate, Low-dose Rate. Cardioverter Defibrillator; Implantable, Subcutaneous, and Wearable Cardioverter Defibrillator. iinet vpn settings The primary coverage criteria of certain services must be established through a prior Approval or pre-authorization process before they can be performed. Please refer to Availity Essentials portal, Arkansas Blue Cross Coverage Policy or the member's benefit certificate to determine which services need prior approval. Important informationArkansas Blue Cross and Blue Shield member contracts require prior authorization for the following: hospital services with anesthesia for complex dental conditions advanced diagnostic imaging in vitro fertilization and infertility applied 54 behavioral analysis durable medical equipment for which costs exceed $5000Dec. 17, 2021. Effective 1/1/2022, our Blue Cross and Blue Shield of Texas (BCBSTX) Federal Employee Program (FEP ®) participants will have some changes to their prior authorization requirements and benefits.. Prior Authorization Updates. Kidney transplants will now require prior approval and are now part of the Blue Distinction Centers for Transplants ® (BDCT) Program. mayo cme scottsdale The primary coverage criteria of certain services must be established through a prior Approval or pre-authorization process before they can be performed. Please refer to Availity Essentials portal, Arkansas Blue Cross Coverage Policy or the member’s benefit certificate to determine which services need prior approval. Important informationVerify benefit coverage prior to rendering services. To determine coverage of a particular service or procedure for a specific member: Step 1: Access eligibility and benefits information on the Availity Portal or call Provider Services at 1-844-462-0022. Step 2: Use the Prior Authorization tool above or within the Availity Portal. Step 3: Verify benefit coverage prior to rendering services. To determine coverage of a particular service or procedure for a specific member: Step 1: Access eligibility and benefits information on the Availity Portal or call Provider Services at 1-844-462-0022. Step 2: Use the Prior Authorization tool above or within the Availity Portal. Step 3: stories of church discipline EOCCO Prior Authorization List- October 2022 EOCCO Prior Authorization List Effective 10/01/2022 Codes Service Description 53854 Transurethral destruction of prostate tissue; by radiofrequency generated water vapor 0143U, 0144U, 0145U, 0146U, 0147U 0148U, 0149U, 0150U Drug assay, definitive, urine, quantitative liquid chromatography with tandem To view the out-of-area Blue Plan's general pre-certification/preauthorization information, enter the first three letters of the member's identification number on the Blue Cross Blue Shield ID card, and click "GO." Alpha prefix: If you experience difficulties or need additional information, please contact 800-676-BLUE. Pre-certification required leaking amniotic fluid at 20 weeks The forms listed on the menu below are for use by medical providers. These forms are in portable document format (PDF) and allow you to complete the form online, print, sign and mail to the appropriate address with supporting documents. Contact your Network Development Representative at the Office Location nearest you for assistance.list of bar rescue bars by state. bcbs al prior authorization phone number. ohio heap application 2022 3x4 hay bale weight Colorado Crime Report.This website is owned and operated by USAble Mutual Insurance Company, d/b/a Arkansas Blue Cross and Blue Shield. Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.Verify benefit coverage prior to rendering services. To determine coverage of a particular service or procedure for a specific member: Step 1: Access eligibility and benefits information on the Availity Portal or call Provider Services at 1-844-462-0022. Step 2: Use the Prior Authorization tool above or within the Availity Portal. Step 3: florida food stamp calculator Forms for dental providers. Authorization Form for Clinic/Group Billing [pdf] Use for notification that a practitioner is joining a clinic or group. New Clinic/Group Application [pdf] Use for NEW clinic or NEW billing group only. Not for current providers. Provider Change of Data Form [pdf] Use to report a change of address or other data.Jan 11, 2022 · What’s Changing: Blue Cross and Blue Shield of Illinois (BCBSIL) is changing prior authorization requirements that may apply to some commercial non-HMO members. A summary of changes is as follows. April 1, 2022 – Addition of Musculoskeletal Current Procedural Terminology ® (CPT) codes to be reviewed by AIM Specialty Health ® (AIM) This website is owned and operated by USAble Mutual Insurance Company, d/b/a Arkansas Blue Cross and Blue Shield. Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas. black funeral homes in salisbury nc Please contact CVS Caremark at 877-433-2973 (Monday — Friday from 8 a.m. — 6 p.m. CST) to request approval for a prescription drug that requires a prior ...The forms listed on the menu below are for use by medical providers. These forms are in portable document format (PDF) and allow you to complete the form online, print, sign and mail to the appropriate address with supporting documents. Contact your Network Development Representative at the Office Location nearest you for assistance. missoula police facebook For example: ABC12345678. Here “ ABC” is BCBS alpha prefix. BCBS Alpha Numeric Prefix – It’s a three letter Alpha numeric prefix followed by id number. For example: A2A12345678. Here “ A2A” is BCBS alpha numeric prefix. BCBS FEP Prefix – BCBS Federal Employee Program is identified by the letter “R” followed by the number. For ...Prior authorization ; Prior authorization . Definition. See "Predetermination" and "Precertification." Careers . Work for one of the most trusted companies in Kansas. ... Non-Discrimination, Translation and Interpretation Services; Site Resources. Glossary; Security Tips; Contact Webmaster; Blue Cross and Blue Shield of Kansas is an independent ...Blue Cross Medicare Advantage Prior Authorization Requirement List. ... Effective 01/01/2022 - 03/31/2022; Blue Cross Medicare Advantage Procedure Code List. air quality eugene The Internet Explorer 11 browser application will be retired and go out of support on June 15, 2022. We're encouraging our users to go ahead and switch to Microsoft Edge, Google Chrome, Safari or Firefox.EOCCO Prior Authorization List- October 2022 EOCCO Prior Authorization List Effective 10/01/2022 Codes Service Description 53854 Transurethral destruction of prostate tissue; by radiofrequency generated water vapor 0143U, 0144U, 0145U, 0146U, 0147U 0148U, 0149U, 0150U Drug assay, definitive, urine, quantitative liquid chromatography with tandemTo obtain an authorization, Blue Cross Blue Shield of ... Commercial: Medical Policy #072, Outpatient Prior Authorization Code List for Commercial (HMO POS ...Verify benefit coverage prior to rendering services. To determine coverage of a particular service or procedure for a specific member: Step 1: Access eligibility and benefits information on the Availity Portal or call Provider Services at 1-844-462-0022. Step 2: Use the Prior Authorization tool above or within the Availity Portal. Step 3: baseball phone cases Blue Cross Medicare Advantage Prior Authorization Requirement List. ... Effective 01/01/2022 - 03/31/2022; Blue Cross Medicare Advantage Procedure Code List. ksw mods Prior Authorization Procedure Codes List for ASO Plans Effective 01/01/2022 (Updated to include code changes effective 10/01/2022) AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent medical benefits management company that provides utilization management services for Blue Cross and Blue Shield of Texas.WebArkansas Blue Cross and Blue Shield offers help to members who lost their medication in Hurricane Ian ... pre-authorization; Case Management ... health plans in all ... sw900 display settings Below are examples of some procedures that require prior authorization, depending on the benefits you have. It is not a complete list, and it changes ...11037 High Sky Inn RdHindsville, AR 72738. October 13-16, 2022. Thurs.-Sat. 8:00am to 5:00pm. Sun. 8:00am to 4:00pm. ADMISSION IS FREE. Parking is $5/vehicle (Paid when. covid vaccine side effects longterm fatigue highly profitable months hackerrank solution python ... bcbs of north carolina prior authorization list ...Verify benefit coverage prior to rendering services. To determine coverage of a particular service or procedure for a specific member: Step 1: Access eligibility and benefits information on the Availity Portal or call Provider Services at 1-844-462-0022. Step 2: Use the Prior Authorization tool above or within the Availity Portal. Step 3: wholesale tufting yarnEOCCO Prior Authorization List- October 2022 EOCCO Prior Authorization List Effective 10/01/2022 Codes Service Description 53854 Transurethral destruction of prostate tissue; by radiofrequency generated water vapor 0143U, 0144U, 0145U, 0146U, 0147U 0148U, 0149U, 0150U Drug assay, definitive, urine, quantitative liquid chromatography with tandemPrior review (prior plan approval, prior authorization, prospective review or certification) is the process BCBSNC uses to review the provision of certain medical services and medications against health care management guidelines prior to the services being provided. Inpatient admissions, services and procedures received on an outpatient basis, such as in a doctor's office,Jan 11, 2022 · What’s Changing: Blue Cross and Blue Shield of Illinois (BCBSIL) is changing prior authorization requirements that may apply to some commercial non-HMO members. A summary of changes is as follows. April 1, 2022 – Addition of Musculoskeletal Current Procedural Terminology ® (CPT) codes to be reviewed by AIM Specialty Health ® (AIM) great lakes hot tub forte model WebWeb• Prior Authorization A process that allows physicians and other professional providers to determine, before treating a patient, if Blue Cross Blue Shield of Michigan will cover the cost of a proposed service. BCBSM requires prior authorization for services or procedures that may be experimental, not always medically necessary, or over utilized. caring personality type In Indiana: Anthem Insurance Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Kentucky: Anthem Health Plans of Kentucky, ...Prior review (prior plan approval, prior authorization, prospective review or certification) is the process BCBSNC uses to review the provision of certain medical services and medications against health care management guidelines prior to the services being provided. Inpatient admissions, services and procedures received on an outpatient basis, such as in a doctor's office,The primary coverage criteria of certain services must be established through a prior Approval or pre-authorization process before they can be performed. Please refer to Availity Essentials portal, Arkansas Blue Cross Coverage Policy or the member’s benefit certificate to determine which services need prior approval. Important information si5351 vfo schematic This website is owned and operated by USAble Mutual Insurance Company, d/b/a Arkansas Blue Cross and Blue Shield. Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.Fill Blue Cross Blue Shield Of Arkansas Prior Authorization Forms, Edit online. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller ...Verify benefit coverage prior to rendering services. To determine coverage of a particular service or procedure for a specific member: Step 1: Access eligibility and benefits information on the Availity Portal or call Provider Services at 1-844-462-0022. Step 2: Use the Prior Authorization tool above or within the Availity Portal. Step 3: magic gann Physicians may also call BCBSMA Pharmacy Operations department at (800)366-7778 to request a prior authorization/formulary exception verbally. Patients must.Arkansas Blue Cross and Blue Shield offers help to members who lost their medication in Hurricane Ian ... pre-authorization; Case Management ... health plans in all ... coleman kt196 go kart oil Blue Cross Medicare Advantage Prior Authorization Requirement List. ... Effective 01/01/2022 - 03/31/2022; Blue Cross Medicare Advantage Procedure Code List.For example: ABC12345678. Here “ ABC” is BCBS alpha prefix. BCBS Alpha Numeric Prefix – It’s a three letter Alpha numeric prefix followed by id number. For example: A2A12345678. Here “ A2A” is BCBS alpha numeric prefix. BCBS FEP Prefix – BCBS Federal Employee Program is identified by the letter “R” followed by the number. For ... used dirtbikes for sale View the coverage policy, benefits, prior approval, referral reminders, Providers' News, and other important patient information. ... Arkansas Blue Cross and Blue ... Arkansas Blue Cross and Blue Shield offers help to members who lost their medication in Hurricane Ian ... Find out which procedures are covered by your policy or if your procedure requires prior authorization. View coverage details ... Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 ...11037 High Sky Inn RdHindsville, AR 72738. October 13-16, 2022. Thurs.-Sat. 8:00am to 5:00pm. Sun. 8:00am to 4:00pm. ADMISSION IS FREE. Parking is $5/vehicle (Paid when. covid vaccine side effects longterm fatigue highly profitable months hackerrank solution python ... bcbs of north carolina prior authorization list ... ups settlement checks View the coverage policy, benefits, prior approval, referral reminders, Providers' News, and other important patient information. ... Arkansas Blue Cross and Blue ... incense matches wholesale Standard prior authorization requests should be submitted for medical necessity review at least five (5) business days before the scheduled service delivery date or as soon as the need for service is identified. Authorization requests may be submitted by fax, phone or secure web portal and should include all necessary clinical information ... The primary coverage criteria of certain services must be established through a prior Approval or pre-authorization process before they can be performed. Please refer to Availity Essentials portal, Arkansas Blue Cross Coverage Policy or the member's benefit certificate to determine which services need prior approval. Important informationPhysician Contacts: Prior authorization or exception request: 1-800-711-4555, option 2 ... Tell us about wrong information on the pharmacy directory.Providers should continue to verify member eligibility and benefits prior to rendering services. Please note: This change is not applicable to the members enrolled in the Mercy Co-worker Plan as they have a customized prior authorization list. Providers should call the prior authorization number on the back of the member ID card. 1395-1121-PN-MO.EOCCO Prior Authorization List- October 2022 EOCCO Prior Authorization List Effective 10/01/2022 Codes Service Description 53854 Transurethral destruction of prostate tissue; by radiofrequency generated water vapor 0143U, 0144U, 0145U, 0146U, 0147U 0148U, 0149U, 0150U Drug assay, definitive, urine, quantitative liquid chromatography with tandem free chip no deposit usa casino WebView the coverage policy, benefits, prior approval, referral reminders, Providers' News, and other important patient information. ... Arkansas Blue Cross and Blue ...Jan 01, 2022 · Blue Cross Medicare Advantage Prior Authorization Requirement List. ... Effective 01/01/2022 - 03/31/2022; Blue Cross Medicare Advantage Procedure Code List. The "Prior authorization list" is a list of designated medical and surgical services and select prescription Drugs that require prior authorization under the medical benefit. The list below includes specific equipment, services, drugs, and procedures requiring review and/or supplemental documentation prior to payment authorization. cs 465 snhu BlueAdvantage Administrators of Arkansas is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas. Copyright © 2001-2022 BlueAdvantage Administrators of ArkansasPre-certification required. All in-patient medical stays (requires secure login with Availity) 800-782-4437. All in-patient mental health stays 800-952-5906. All home health and hospice services 800-782-4437. Transplants with the exception of cornea and kidney 800-432-0272. Verify benefit coverage prior to rendering services. To determine coverage of a particular service or procedure for a specific member: Step 1: Access eligibility and benefits information on the Availity Portal or call Provider Services at 1-844-462-0022. Step 2: Use the Prior Authorization tool above or within the Availity Portal. Step 3: Health insurance can be complicated—especially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). We’ve provided the following resources to help you understand Anthem’s prior authorization process and obtain authorization for your patients when it’s required. stomach tightening when walking pregnant Prior authorization statistics. Arkansas Blue Cross and Blue Shield is committed to transparency and compliance with all federal and state laws, including Rule 115 Prior Authorization Transparency Act under Ark Code Ann 23-99-1104(d). Medical. 2019 - 3rd quarter [pdf] 2019 - 4th quarter [pdf] 2020 - 1st quarter [pdf] Arkansas Blue Cross and Blue Shield offers help to members who lost their medication in Hurricane Ian ... pre-authorization; Case Management ... health plans in all ... dog coupler To find pharmacy medical policies specific to a medication list, use the links below. BCBSKS BlueCare/EPO Prior Authorization (offsite link); BCBSKS ResultsRx ...EOCCO Prior Authorization List- October 2022 EOCCO Prior Authorization List Effective 10/01/2022 Codes Service Description 53854 Transurethral destruction of prostate tissue; by radiofrequency generated water vapor 0143U, 0144U, 0145U, 0146U, 0147U 0148U, 0149U, 0150U Drug assay, definitive, urine, quantitative liquid chromatography with tandemWeb rex silentium mod x 358 As part of the alliance, Availity serves as the designated EDI Gateway providing portal and clearinghouse services for Arkansas Blue Cross and Blue Shield. Availity is a multi-payer site where you can use a single user ID and password to work with Arkansas Blue Cross and Blue Shield, Health Advantage, and other participating payers online. Arkansas Formulary Exception/Prior Approval Request Form; Authorization Form for Clinic/Group Billing [pdf] Use for notification that a practitioner is joining a clinic or group. Benefit Inquiry Review Form [pdf] Exception Letter [pdf] Request a pre-service exception to receive network benefit reimbursement for non-network provider services.• Prior Authorization A process that allows physicians and other professional providers to determine, before treating a patient, if Blue Cross Blue Shield of Michigan will cover the cost of a proposed service. BCBSM requires prior authorization for services or procedures that may be experimental, not always medically necessary, or over utilized. craigslist cars treasure coast