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Prior Authorization

A service or medication may require a prior authorization based on your patient’s plan. You can request an electronic prior authorization by continuing below. Please note that a Blue KC provider portal account is required for submitting and reviewing prior authorizations.

Review or Submit Prior Authorizations

Fax, Mailing, and Prior Authorization eForms In Requests

You may also submit requests by fax, mail or prior auth eForms. Please include any supporting medical information in your request. Check the status of an existing request using the customer service number listed on the member ID card.

eForms

Commercial Blue KC Prior Authorization Forms - Medical Services, Procedures, and Equipment
Commercial Blue KC Prior Authorization Forms - Medications (covered under Medical benefits)
Commercial Blue KC Prior Authorization Forms - Medications (covered under Pharmacy benefits)
Commercial Radiology Services

Commercial Plan Members Medical Service, Procedure, or Equipment Fax Requests Fax Requests:
(816) 926 - 4253

Commercial Plan Member Mail-in Requests:
Blue Cross and Blue Shield of Kansas City
Attention: Prior Authorization, Mail Stop B5A1
P.O. Box 411878
Kansas City, MO 64141-1878

MA eForms

MA Blue KC Prior Authorization Form - Medical Services, Procedures, and Equipment
MA Blue KC Prior Authorization Form - Part B Medications
MA Blue KC Prior Authorization Form - Part D Medications
MA Radiology Services

MA Prefixes: RRK or RKN

MA/ACA Plan Members Medical Service, Procedure, or Equipment Fax Requests:
(877) 549 - 1744

MA Plan Member Part B Medication Fax Requests:
(816) 398 - 6547

MA/ACA Plan Members Medical Service, Procedure, or Equipment Mail-in Requests:
Central Operations (COPS) Blue KC MA & ACA
P.O. Box 419169
Kansas City, MO 64141

ACA eForms

ACA Blue KC Prior Authorization Form - Medical Services, Procedures, and Equipment
ACA Blue KC Prior Authorization Form - Medications (covered under Medical benefits)
ACA Blue KC Prior Authorization Form - Medications (covered under Pharmacy benefits)
ACA Radiology Services

ACA Prefixes: YBD, YBG, YBS, YBM, YBT, YBX, YJV, YJW, YJJ or YJT

ACA Plan Member Medication (Medical Benefit) Fax Requests:
(816) 995 - 1597

MA/ACA PDF Forms:

MA Blue KC Prior Authorization Form - Medical Services, Procedures, and Equipment
MA Blue KC Prior Authorization Form - Part B Medications
ACA Blue KC Prior Authorization Form - Medical Services, Procedures, and Equipment
ACA Blue KC Prior Authorization Form - Medications (covered under Medical benefits)
Radiology Services

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