Find out if prior authorization is required by entering the member’s group number (from ID card) and procedure code.
Note: For inpatient notification and authorization requirements, see our quick guide.
This tool works for most AZ Blue members with employer group and individual/family plans. For requirements for other types of plans (such as Federal Employee Program, CHS, Medicare Advantage, ACA Health Choice Network Plans, etc.), visit our Prior Authorization and Medical Policies page.
(Please enter the first 6 digits only)
* Indicates required fields
Exceptions
Medications covered under pharmacy benefits: Visit pharmacy resources for AZ Blue coverage and prior authorization requirements.
Medicare Advantage plans: Visit the Medicare Advantage Provider Resources page.
Medicare Supplement plans: See the AZ Blue prior authorization code list.
CHS Group plans: Call the number on the back of the ID card or contact the group’s TPA.
Federal Employee Program® (FEP®) plans: See the AZ Blue Prior Authorization Code Lists (tab 7) or visit the FEP Plan Brochures page.
BlueCard® (Out-of-Area) members: Use the BlueCard prior authorization router tool in the AZ Blue secure provider portal.
Disclaimers