Precertification Requirements

Anthem Blue Cross and Blue Shield (Anthem) recommends submitting precertification requests via Interactive Care Reviewer (ICR), a secure utilization management tool available in Availity. ICR offers a fast, efficient way to securely submit your requests with clinical documentation. You can also check status of an existing request and auto-authorize more than 40 common procedures. 

Services requiring precertification

Providers are responsible for verifying precertification requirements before services are rendered. You can use the Precertification Lookup Tool or reference the provider manual to determine if authorization is needed. 

Request precertification

We encourage providers to use ICR in Availity for all notifications or precertification requests, including reporting a member’s pregnancy. 

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Precertification contacts


Prescription drugs, including specialty medications, some over-the-counter (OTC) medications and home infusion therapy solutions, are covered by ForwardHealth.

ForwardHealth Provider Services


TTY: 711



Contact Anthem Medical Management for medical precertification questions, including medical injectables not covered by ForwardHealth.

Anthem Medical Management


TTY: 711

Related information

Provider tools & resources

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We look forward to working with you to provide quality services to our members.