Pre-Certification for Health Benefits
BlueCard Members: To look up out-of-area member's Pre-certification requirements, please use the Medical Policy Router.
Pre-certification of scheduled inpatient admission is required under ALL benefit programs.
We collect clinical information pertinent to the request. The information is reviewed in conjunction with nationally recognized health care guidelines.
|Phone - 24 hours||
Call (800) 922-8778
Complete the Form
Fax: (802) 371-3757
Providers are verbally notified of the determination of pre-certified services within three business days after obtaining all necessary information.