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BLUE REVIEWSM

for Providers

November 2023

BlueApprovRSM Now Accepts Online Recommended Clinical Reviews for Behavioral Health — Attend a Training

Blue Cross and Blue Shield of Oklahoma continues to streamline the pre-service review process to reduce your workload with BlueApprovR. This tool, accessible in Availity® Essentials, now processes optional recommended clinical reviews for behavioral health, as well as medical and surgical services and specialty pharmacy drugs for many of our commercial members.

Submit Recommended Clinical Review and Prior Authorization Requests through BlueApprovR

Note: your RCR submissions will follow the same path through BlueApprovR as Prior Authorization requests.

BlueApprovR Tool Offers End-to-End Efficiencies

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


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 Central Time:


Use BlueApprovR to Request RCRs and Prior Authorization for these types of care


Other Prior Authorization Request Methods
 Use the Availity Attachments tool to submit an RCR or, complete the Recommended Clinical Review Request form.

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

Provider Resources
 Learn more about how to access and use BlueApprovR at our Provider Tools web page. Continue to watch News and Updates for future program updates and training opportunities.

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Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. If you have any questions, call the number on the member's ID card.

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 BCBSOK. BCBSOK makes no endorsement, representations, or warranties regarding third party vendors and the products and services they offer.