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Your vision and dental health affect the rest of your health, too. We have plans that can help.
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Your benefits include extras that help you manage your long-term health conditions.
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Looking for ideas on ways to stay well and save money? We can help with that.
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Utilization Management Resources
Care Management Contact Information
Utilization Management Guidelines (UMGs)
Commercial Prior Authorization Requirements
Cite Guideline Quick Reference Guide
BlueCross BlueShield of Tennessee Commercial Genetic Testing Program
Certain outpatient molecular and genomic tests will require prior authorizations for our Commercial fully-insured, individual and select self-funded members. Please note medical records may be required for the initial authorization review. You can verify member eligibility, benefit information and request a prior authorization for the BlueCross Genetic Testing UM Program by logging in to Availity® or by phone at 1-888-693-3211. You may also go directly to eviCore’s self-service web portal at www.evicore.com.
Blue Core System
BlueCross BlueShield of Tennessee's CAQH/CORE certified real-time benefits, eligibility and claim status system.
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