Find everything you need to help your patients understand their health insurance as it relates to medical and pharmacy benefits and policies here. Show
Pharmacy Utilization Management Programs
To request a prior authorization for a medication included in the Responsible Quantity program, download the Quantity Limit Authorization form, complete and fax to 1-877-480-8130. You can also use CoverMyMeds to request authorization.
To request a prior authorization for a medication included in the Step Therapy program, download the appropriate Step Therapy Prior Authorization Request form, complete and fax to 1-877-480-8130. You can also use CoverMyMeds to request authorization.
To request a prior authorization for a medication included in this program, download the appropriate form, complete and fax to the number at the bottom of the form. You can also use CoverMyMeds to request authorization. Faxed forms with all required information are processed within 10 calendar days from the date received from the provider. Faxed forms with missing information may require up to 15 working days to be completed, provided missing information can be readily obtained.
Your pharmacy benefit may not cover select medications. Some of the reasons a medication may not be covered are:
Pharmacy Claim Filing Instructions
Claims should be transmitted using Bin Number 012833. For assistance or questions related to claim filing for covered prescriptions, contact the Prime Pharmacy Help Desk at 1-888-877-6323 for non-Medicare Part D or 1-888-877-6420 for Medicare Part D. How do I contact Blue Cross Blue Shield of Florida?Learn about insurance options for Individuals & Families or Employers, or get connected with your local Blue Cross Blue Shield company by calling 888.630.2583.
What does insurance prior authorization mean?A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval or precertification.
What's the customer service number for Florida Blue?1 (800) 352-2583Blue Cross and Blue Shield of Florida / Customer servicenull
How do I submit medical records to Florida Blue?Contact us by email at [email protected], by fax at 904-301-1557 or toll free call at 1-855-622- 2735. Be sure to include your name, contact information and provider group.
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