Prior Authorization

Blue KC Provider Account for Prior Authorization Requests are currently unavailable. Please see the applicable fax numbers below if needing to submit a request during this time.

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

Commercial Plan Members Medications:
(816) 926-4253

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

ACA Plan Member Medications:
(816) 995-1597

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 Authorizations

FEP Procedure and Service Requirements

Federal Employee Plan (FEP) member ID numbers begin with the letter R and do not include a prefix.

If you have any questions or need help submitting a prior authorization, please call 816-395-3989 for assistance.