Inpatient Services require Preauthorization

Reminder: Inpatient services for Blue Cross and Blue Shield of Oklahoma (BCBSOK) members require preauthorization approval prior to services being rendered. Obtaining preauthorization approval is the responsibility of participating providers.

To obtain preauthorization for inpatient services through BCBSOK:

• Use iExchange^® . This online tool is accessible to physicians, professional providers and facilities contracted with BCBSOK.

• For more information or to set up a new account, refer to the iExchange page in the Provider Tools section of our Provider website.

Services performed without preauthorization may be denied for payment in accordance with your participating provider agreement. Such denials are provider responsibility. For any service not approved for payment, BCBSOK will provide all appropriate appeal rights for review.

If you have any further questions, contact your Provider Network Representative.

NOTE: The Preauthorization requirement also applies to Out of Area Members and obtaining preauthorization approval is the responsibility of participating providers.