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GLO-PRV-Authorization-Clear Coverage-Hide Clear Coverage app and remove links

GLO-PRV-Authorization-Clear Coverage-Hide Clear Coverage app and remove links

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Request Authorization

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  1. Check the patient's benefits & coverage for plan-specific requirements.
  2. Submit your request below:

Nested Applications

Request Authorization Accordion (new)


Commercial & Medicare

Call: 1-800-363-4658
Once the preauthorization has been obtained, call Behavioral Health Utilization for the clinical review: 1-800-277-2138


Safety Net:
Medicaid, Child Health Plus, Essential Plan

Call: 1-844-694-6411, or Fax: 1-844-620-7013
Concurrent review can be faxed to: 1-855-742-0126

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Get Your Facets Provider ID

You'll need your Facets ID to use Clear Coverage or do Pre-Service Reviews at Other Blue Plans.

How to get your ID

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eviCore Healthcare Information

Get help with urgent/emergency requests, appeals process and help acessing eviCore online.

Learn more

Request Authorization - Modal for Facets ID

Modal for Get Your Facets Provider ID

Behavioral Health Auth Forms Modal

Modal for Behavioral Health Fax and Request Forms

GLO-PRV-Request Authorization-Clear Coverage Attestation Script

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