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Medical Policies & Authorizations
    
Medical Policies & Authorizations Away From Home

Enter the three-letter prefix on the member's ID card to view an out-of-area Blue Plan's medical policy or general pre-certification/pre-authorization information.

  Authorizations

Find out the difference between the various types of authorizations, and learn how and when to get the approvals you need.

    

Medical Policies
Determine the medical necessity of a treatment, procedure, service or supply.

  

Get the forms you need to obtain a review for medical necessity, and learn about Wellmark member requirements and Federal Employee Program (FEP) member requirements.

    
 

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Related Information
»   Prior Authorization and Treatment Request Forms
»   Radiology Pre-Service Appeal/Post-Service Inquiry Process
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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
 
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