Preauthorization

Enter, save and manage preauthorization files electronically.

Standard Preauthorization List (excluding FEP)

  • IP admissions to health care provider not participating with BCBSND
  • Skilled nursing facility/care
  • Long term acute care facility
  • Transitional care unit
  • IP admission to rehabilitation facility
  • Hospice
  • Home Health care
  • Psychiatric and substance abuse admits including ambulatory behavioral health care (partial hospitalization) or residential treatment center (All out-of-state admits may require prior approval)
  • Physical Therapy Windows
  • Habilitative Therapy

* No preauth required when BCBSND is secondary to other insurance, unless other insurance benefits have been exhausted. No preauth required for maternity admissions that result in delivery.