Prior authorization to Blue Cross Blue Shield Federal Employee Program

The Blue Cross Blue Shield Federal Employee Program covers current and retired federal government employees and their dependents under the Federal Employees Health Benefits program. FEP member IDs always begin with a three-letter alpha prefix — submissions missing this prefix or using a non-FEP BCBS member ID format are a common source of rejections. FEP Basic and Standard options have meaningfully different PA requirements and coverage levels; confirm the member's specific plan option before submitting.

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Blue Cross Blue Shield Federal Employee Program

Federal EmployeeCommercial

PA Fax: +18009038600
PA Phone: +18009038600
Standard turnaround: 5 business days
Urgent turnaround: 72 hours

Federal Employee Program — covers current and retired federal government employees and their dependents.

Blue Cross Blue Shield Federal Employee Program provider portal →

What you'll need

★ PortalFaxPhonePortal preferred

☐Verify FEP member ID format (starts with a 3-letter alpha prefix)
☐Confirm service is not excluded under the FEP Basic or Standard option
☐Ordering provider NPI
☐Rendering provider NPI and facility information
☐ICD-10 diagnosis code(s)
☐CPT procedure code(s)
☐Clinical notes supporting medical necessity

▶Common denial reasons

⚠FEP plan option exclusion (Basic vs. Standard have different coverage)
⚠Incorrect member ID format — must include the 3-letter prefix
⚠Procedure not meeting FEP medical necessity criteria
⚠Out-of-network without network-exception documentation

Verified 2026-05-20. Check payer site for current rules →

From $2.99 per submission

PA Agent requires an account so you can track submissions, record outcomes (approved/denied), and pre-fill appeals automatically. It's free to join.

You can preview the form below — sign in before generating or submitting.

⬆ Import from CSVDownload template

Submission checklist

○Provider name, NPI, practice name

○Provider phone & fax number

○Patient name, DOB, member ID

○ICD-10, diagnosis, CPT, procedure

○Clinical notes (min 50 chars · 0 entered)

✓Fax destination number

○AI justification generated & reviewed

1 of 7 checks complete

Prior Authorization Request

1. Provider Information

Provider Name *

NPI * (10 digits)

Practice Name *

Provider Phone *

Provider Fax *

2. Patient & Insurance

Patient Name *

Date of Birth * (MM/DD/YYYY)

Member ID *

Group Number

💬 Patient notifications: add the patient's email below and they'll automatically receive an email when you record the insurer's decision on the tracking page — no phone call needed.

Patient Email (for outcome notifications)

Patient Phone (for future SMS notifications)

3. Clinical Details

ICD-10 Code *

Diagnosis Description *

CPT Code * (5 digits)

Procedure Description *

Urgency

4. Clinical Notes

Provider notes & supporting rationale *(min 50 chars)0/10000

5. AI Clinical Justification

PHI notice: Clicking “Generate with AI” sends clinical notes and diagnosis to OpenAI for processing. Do not include information beyond what is clinically necessary. Review your organization's policies before submitting patient data to third-party AI services.

6. Submission Method

✓ Pre-filled with Blue Cross Blue Shield Federal Employee Program's PA fax number.