• Medical Services and Procedures
• Medications
• Additional Resources

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.

Commercial Procedure and Service Codes

Commercial / Employer & JAA Groups include all prefixes excluding those explicitly listed for the other plan types below.

• Commercial Prior Authorization Procedure and Service Code List

ACA Procedure and Service Codes

Affordable Care Act (ACA) prefixes include YBD, YBG, YBS, YBM, YBT, YBX, YJV, YJW, YJJ, or YJT.

• ACA Prior Authoriztion Procedure and Service Code List

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.