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Blue News for You

Know About Prior Authorization

Beginning Jan. 1, 2010, prior authorization is required for endometrial ablation and hysteroscopy. If your doctor recommends one of these procedures, please make sure he or she requests prior authorization. This is important, because if you live outside of Tennessee and use a doctor in your area, you may be responsible for the procedure costs if prior authorization is not requested. For details, check your benefit materials or call 1-800-565-9140.

Use network providers and save

Your provider network is an important part of your health plan coverage. When you use the doctors, hospitals and pharmacies that belong to your specific network, you save money.

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Get prior approval before a hospital stay

If you ever need hospitalization, your Blue Network plan offers a wide range of hospitals to choose from. But no matter which hospital you select, you must get advance approval - or prior authorization - from BlueCross before you begin your hospital stay.

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The high cost of high-tech imaging

High-tech imaging costs are now a major factor driving up the cost of health care. To help make sure that the type of technology chosen matches the type that's needed, BlueCross BlueShield of Tennessee is asking doctors and hospitals to use a prior authorization process.

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BlueAccess enables you to view information in a secure online environment, just as it appears right now in our customer service computer system.

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We are looking for people like you to join BlueVoice, our online research panel, and make a difference! We want to know your thoughts and opinions so we can better understand what’s important to you and your family.

You Speak. We Listen.

 

Page Modified:June 3, 2010