Contact Us | Quick Reference Guide | Florida Blue (2024)

Utilization Management
  • Preservice Medical Review - Prior Authorizations and Referrals
  • Concurrent Review - Inpatient Acute or Sub-Acute Admissions
  • Peer to Peer Review – Only for Florida Blue Denied Authorizations

*South Counties include:

Miami-Dade, Monroe, Broward, Palm Beach, Martin, St. Lucie, Okeechobee, Indian, Collier, Lee, Charlotte, Glades, Hendry, Hardee, Desoto, Manatee, Highlands, Sarasota, Pinellas, Hillsborough, Hernando, Pasco

**North Counties include:

Nassau, Duval, St. John, Clay, Putnam, Baker, Union, Bradford, Alachua, Marion, Columbia, Gilchrist, Levy, Citrus, Hamilton, Suwannee, Dixie, Escambia, Santa Rosa, Okaloosa, Walton, Holmes, Washington, Bay, Jackson, Calhoun, Gulf, Gadsden, Liberty, Franklin, Leon, Wakulla, Jefferson, Taylor, Madison, Lafayette, Orange, Osceola, Polk, Flagler, Volusia, Lake, Sumter, Brevard, Seminole

Preservice Medical Review

  • Phone: 800-955-5692 (Use Availity®1 to enter your authorizations, referrals, and inquiries)
  • Transplant Requests Phone: 844-701-2583
  • Peer to Peer Phone: 800-955-5692
  • General/VPCR/VPSS Fax:877-219-9448
  • Prescription Fax: 904-905-9849
  • Transplant Fax:904-357-6331
  • Medicare Advantage, Florida Blue Medicare℠, Medicare PPO Medical Fax:904-301-1614
  • Medicare Advantage, Florida Blue Medicare Part B Rx Fax: 904-357-6699
  • FEP Preservice/VPCR Request Fax: 866-441-1569
  • FEP Preservice/VPCR Request Fax: 866-441-1569
  • State Account Preservice/VPCR Request Fax: 866-441-1568

Concurrent Review Fax numbers:

  • Med Advantage: 954-714-4109
  • Statewide Discharge Census: 888-757-4921
  • Federal & State Employees: 850-479-6686
  • Commercial South* Region: 813-806-1428
  • Subacute Care South* Region: 954-714-4143
  • Commercial North** Region (includes FL Travelers): 407-804-4432
  • Subacute Care North** Region (includes FL Travelers): 305-716-2731
  • Subacute Care Med Advantage: 813-806-1277
  • Out of State Residents: 904-357-6087

Note: include your authorization number on the medical records being faxed

Contact Us | Quick Reference Guide | Florida Blue (2024)
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