PFFS Member Rights - Advance Determinations

How to Request an Advance Determination

Advance determinations are usually requested directly by your physician. However, if you need to submit a request yourself, have your doctor complete the appropriate form and mail or fax it to:

BlueCross BlueShield of Tennessee
BlueAdvantage Medical Management
1 Cameron Hill Circle
Chattanooga, TN 37402-0005

Fax: 1-888-535-5243

For medical advance determinations, please use the appropriate form below:

• Skilled Nursing Facility / Inpatient Rehabilitation
• Home Infusion Therapy 
• Durable Medical Equipment 
• Part B Drug
• Inpatient
• Cardiac Inpatient
• General
• Outpatient Therapy
• Oncology Drug

For prescription drug advance determinations, please use the form below:

• Member Form