For Washington and Alaska
Sign into Availity to check codes that may require prior authorization.
Important note: FEP prior authorization submission forms are not available in Availity at this time and must be submitted using one of the prior authorization forms listed below.
Prior approval/pre-service request forms for services provided in Alaska or Washington only
Alaska prior approval form
Washington prior approval form
Alaska precertification/concurrent review request form
Washington precertification/concurrent review request form
Applied behavior analysis (ABA) prior approval forms
Alaska ABA prior approval form
(Eastern) Washington ABA prior approval form
Durable medical equipment (DME) prior approval forms
Alaska DME prior approval form
Washington DME prior approval form
For services outside Alaska or Washington
Please contact the local Blue plan where the service is provided.
For more information, call 877-342-5258.