BlueApprovRSM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization — Attend a Training

April 4, 2023

Blue Cross and Blue Shield of Montana (BCBSMT) continues to streamline the prior authorization process to reduce your workload with BlueApprovRSM. This new tool accessible in Availity® Essentials now expedites approvals for some pharmacy drug, medical and surgical and behavioral health services for many of our commercial members.

BlueApprovRSM tool offers End-to-End Efficiencies

Registered Availity Essentials users have free, 24/7 access to BlueApprovR tool to:

  • Request prior authorization for inpatient and outpatient medical and surgical services, pharmacy drug and behavioral health services
  • Secure real-time approvals for certain services and begin treatment right away
  • Easily attach medical records
  • Check approval status of your request

Provider Training

You can attend an instructor-led, free webinar to learn how to use BlueApprovR. To register, select your preferred date and time from the list below. Times listed are Mountain Time:

How to Submit Prior Authorization Requests through Availity Essentials

  • In Availity, select Payer Spaces from the navigation menu, then BCBSMT
  • On your Payer Spaces page, select the Applications tab and click BlueApprovR
  • Users will be redirected to BlueApprovR to complete the request online

Other Prior Authorization Request Methods:

If you’re not a registered Availity Essentials user, register today on Availity.com. Otherwise, you may still request prior authorization with BCBSMT by calling the number on the member ID card.

Note: This new tool is currently not available for our Federal Employee Program®, Medicare Advantage or Healthy Montana Kids members. Please use your existing process for requesting prior authorization for these members.

Don’t forget – always check eligibility and benefits first for BCBSMT members to confirm if prior authorization is required. This step also will alert you if your request must be submitted through a vendor, rather than BCBSMT.

Provider Resources

Learn more about how to access and use BlueApprovR at our Provider Tools web page.

For More Information

Continue to watch News and Updates for future program updates and training opportunities.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSMT. BCBSMT makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.