Utilization Management Program and Precertification
Precertification is required for many services, including the following
outpatient hospital benefits, physician benefits and other covered services. This list will be updated
no
more than twice a calendar year. You should check this list prior to obtaining any outpatient hospital
service, physician services and other covered services. Group-specific policies and benefits will
supersede
these requirements when applicable. For the next step in obtaining a precertification, please call
Customer
Service at the number on the back of your member ID card to be directed to the appropriate number to
call
for precertification or for group specific policies and benefits.
Please see the Medical Necessity and Precertification section
of
your
benefit booklet to determine what services require precertification under your plan.
Coupe Health, LLC is an independent company that provides
benefit
design services.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of
the Blue Cross and Blue Shield Association