EPA PreService Review for BlueCard Members
Effective March 31, 2014, requests for pre-service review for BlueCard® (non-North Carolina) members will be routed to the member’s Home Plan via the electronic provider access (EPA0 routing system.
Providers can access the member’s Home Plan Web portal via Blue eSM to request authorizations for inpatient stays, approvals for inpatient and outpatient procedures, services that require advanced certifications, and for diagnostic imaging pre-service review.
If you wish to perform a diagnostic imaging inquiry or an authorization request for a BlueCard member via Blue e, just follow these steps:
- Enter the alpha prefix found on the member’s ID card.
- Select the provider number associated with the service in question, if you have more than one to choose from, and click “Submit.”
- You will be taken to the EPA landing page of the member’s Home Plan.
- Select the type of transaction you need and submit the request as you would in Blue e.
You should receive an immediate response from the member’s Home Plan for your BlueCard patient inquiries.