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.
Don’t have an Availity account?
Prescription drugs, including specialty medications, some over-the-counter (OTC) medications and home infusion therapy solutions, are covered by ForwardHealth.
ForwardHealth Provider Services