Any of the forms below should be mailed or faxed to:
BlueCross BlueShield of Tennessee
Attn: BlueAdvantage Operations Appeals/Grievance Coordinator
P.O. Box 180205
Chattanooga, TN 37402
Fax: (423) 296-5498
Prior Authorization Forms
Use the appropriate form below to request prior authorization for the services listed below. These forms should be completed by your doctor.