To view the most accurate list of requirements and submit a formal request on behalf of your patient, use the button below. A Blue KC Provider Account account is required to submit, review, and manage authorization requests. We’ve also provided generalized lists of requirements organized by plan type, but please note that these requirements vary by patient.
Review or Submit Prior AuthorizationsBlue KC Prior Authorization and Notification List
Commercial Procedure and Service Codes
Commercial / Employer & JAA Groups include all prefixes excluding those explicitly listed for the other plan types below.
ACA Procedure and Service Codes
Affordable Care Act (ACA) prefixes include YBD, YBG, YBS, YBM, YBT, YBX, YJV, YJW, YJJ, or YJT.
FEP Procedure and Service Requirements
Federal Employee Plan (FEP) member ID numbers begin with the letter R and do not include a prefix.
- FEP Prior Authorization Requirements - See Section 3 of the Plan Brochure or call the customer serivce phone number on the back of the member's ID card.
If you have any questions or need help submitting a prior authorization, please call 816-395-3989 for assistance.
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