Prior Authorization/Care Coordination Status

Please start the request by providing the following Provider and patient information. Once you have completed and submitted the request, Blue Cross & Blue Shield will communicate with you by email if we need more information when we reach a decision on your request.

All fields indicated with an asterisk(*) are required for submission.

Provider Information

Transaction ID

Message ID

Patient Information

*BCBSMS Subscriber IDinfo

Patient's Date of Birth