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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 $1.99 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.

Submission checklist

○Your name, date of birth, member ID

○Your situation described (min 50 chars · 0 entered)

✓Insurer fax number

○AI appeal letter generated & reviewed

1 of 4 checks complete

Prior Authorization Request

1. Your Doctor's Information(optional — helps strengthen your appeal)

Doctor Name

NPI (10 digits)

Practice / Clinic Name

Doctor Phone

Doctor Fax

2. Your Information & Insurance

Patient Name *

Date of Birth * (MM/DD/YYYY)

Member ID *

Group Number

3. Clinical Details(optional — include if known)

ICD-10 Code (if known)

Diagnosis (if known)

CPT Code (if known)

Denied Treatment / Procedure

Urgency

4. Your Medical Situation

Describe your situation in your own words *(min 50 chars)0/10000

Explain why you need this treatment, what your doctor has recommended, and what happened when the insurer denied it. The more detail you provide, the stronger your appeal.

5. AI Appeal Letter

Privacy notice: Clicking “Generate with AI” sends your description to OpenAI to draft your appeal letter. Do not include sensitive information beyond what is medically relevant.

6. Submission Method

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