Blue Cross and Blue Shield of Montana

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

Carelon Medical Benefits Management (Montana)

Official page read
Phone844-377-1285Published hours

Not published in this record

Product, plan and location

commercial
Montana

Mailing address

Not researched for this route

Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

eviCore healthcare — Medicare Advantage specialty UM and recommended clinical review for radiation therapy and molecular testing (Montana)

Official page read
Phone855-252-1117Published email

clientservices@evicore.com

eviCore client services

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage
Montana

Mailing address

Not researched for this route

Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Page says Medicare Advantage requires eviCore prior authorization for specialty utilization management; group and individual plans use eviCore for recommended clinical review of radiation therapy and molecular and genomic testing.

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Federal Employee Program (FEP) prior authorization (Montana)

Official page read
Phone877-885-3751Published hours

Not published in this record

Product, plan and location

fehb
Montana

Mailing address

Not researched for this route

Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Individual plans medical prior authorization (Montana)

Official page read
Phone855-458-9444Published hours

Not published in this record

Product, plan and location

exchange
Montana

Mailing address

Not researched for this route

Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Group plans medical prior authorization (Montana)

Official page read
Phone855-313-8914Fax

866-589-8256

Published hours

Not published in this record

Product, plan and location

commercial
Montana

Mailing address

Not researched for this route

Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). The same fax 866-589-8256 is listed for non-emergent group and individual appeals.

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

fax prior auth

Recommended Clinical Review fax (Montana)

Official page read
Phone

No phone listed for this route

Fax

866-900-2634

Published hours

Not published in this record

Product, plan and location

commercial
Montana

Mailing address

Not researched for this route

Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Page lists P: 800-447-7828 and this fax for Recommended Clinical Review.

View source ↗ · Source checked 2026-10-25

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prior authorization

Healthy Montana Kids recommended clinical review and prior authorization

Official page read
Phone855-699-9907Fax

855-610-5684

Published hours

Not published in this record

Product, plan and location

chip
Montana

Mailing address

Not researched for this route

Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Blue Cross Medicare Advantage (MT) peer-to-peer scheduling

Official page read
Phone800-981-2795Published hours

Not published in this record

Product, plan and location

medicare advantage
Montana

Mailing address

Not researched for this route

Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).

View source ↗ · Source checked 2026-10-25

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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