May 07, 2024

Did you know that our Medicare Advantage plans have a separate authorizations process that is explained in detail on our website? You can find all the details you need to determine whether authorization is required and, subsequently, learn how to submit your request(s).

We have several tools available for determining benefit requirements, such as the Voice Response Unit (VRU) or My Insurance Manager^SM (MIM).  You can also refer to the available list of codes that require prior authorization on the Medicare Advantage authorization page.

Prior authorization requests can be made by phone, fax or electronically. When faxing your requests, please remember to send a separate request for each patient. Additionally, be sure to use the appropriate fax number to submit your request for medical services. The authorizations area has noticed many requests sent to the wrong fax number. By using the appropriate number, you will avoid any potential processing delays in the review process.

Ways to Request Prior Authorization
To authorize medical services, providers can complete prior authorization requests:

• Online: My Insurance Manager
• By Phone: 855-843-2325
• By Fax: 803-264-6552

To authorize behavioral health services, providers can complete prior authorization requests:

• Online: www.CompanionBenefitAlternatives.com
• By Phone: 833-971-4075

To authorize laboratory services with our laboratory network, Avalon, providers can complete prior authorization requests:

• Online: Prior Authorization System (PAS) Portal
• By Phone: 844-227-5769
• By Fax: 813-751-3760

To authorize durable medical equipment (DME) used in a home setting, home health and home infusion services, providers can complete prior authorization requests: 

• By Phone: 844-215-4264
• By Fax: 844-215-4265

If you have any questions, please reach out to Provider Education at Provider.Education@bcbssc.com or by contacting your dedicated consultant directly.

Avalon is an independent company that provides benefit management services on behalf of BlueCross BlueShield of South Carolina.