Prior authorization is the requirement that a physician or other qualified provider obtain approval from Blue Shield before prescribing a specific medication, procedure and/or service.
Managing out-of-area Blue plan members

Find tools, information, and resources to assist you in serving your patients insured by other state Blue plans.

Prior authorization forms and list

View, download and print prior authorization forms for oral, topical and home self-administered injectable prescription drugs. Use our prior authorization list to see which procedures require a medical necessity review prior to payment.

Additional resources

Learn to use AuthAccel and find out who to contact if you have questions about prior authorizations.

Verify member's plan participation

To quickly and easily find out if you, the provider, or a provider referral, participate in the member's plan network*, either log in or register for Provider Connection.
*Blue Shield of California member plans only

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Provider login

If you don't have a Provider Connection account, you will need to register before logging in.

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Without logging in, you can do a general search but the search results may include providers that do not accept the member's plan. We advise you to log in first.

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