Our AI challenges every BCBS denial automatically across all 34 companies. 84% success rate. Works with Anthem, Premera, Horizon—every single BCBS plan.
No credit card required • All 34 BCBS plans supported • 5-minute setup
+ 22 more independent BCBS licensees
Unlike Aetna or UnitedHealth, BCBS operates as a federation of 34 independent companies. Each one has different medical necessity criteria, prior auth requirements, appeal processes, and documentation standards. They're counting on you to get lost in the complexity.
Here's what changes by BCBS company:
Muni's AI is trained on all 34 BCBS companies' policies. We automatically detect which plan you're appealing and apply the correct standards. You don't waste time figuring it out.
Based on 5,200+ BCBS denials across all 34 companies. Different plans, same denials.
BCBS plans have stringent medical necessity criteria that vary by region. Muni generates plan-specific justifications with clinical evidence and policy references tailored to your specific BCBS company.
Each BCBS plan has different prior auth requirements. Muni checks the specific plan's PA list and crafts retroactive authorization appeals with emergency or continuity of care justifications.
BCBS frequently denies newer treatments as 'experimental.' We appeal with FDA approval status, peer-reviewed evidence, and precedent from other BCBS plans that already cover the treatment.
For out-of-network denials, we leverage BCBS's 'network adequacy' requirements, demonstrating lack of in-network specialists or continuity of care needs.
BCBS plans may deny for CPT/ICD-10 misalignment or incomplete documentation. Muni verifies coding against BCBS's specific code edits and provides corrected documentation.
From BCBS denial letter to plan-specific appeal in 5 minutes. Stop letting them confuse you.
Our AI identifies which of the 34 BCBS companies issued the denial (Anthem, Premera, Horizon, etc.) and extracts the specific denial reason, policy references, CPT codes, and appeal deadline.
Muni researches the specific BCBS plan's policies:
Within 5 minutes, receive a comprehensive appeal letter tailored to your specific BCBS plan's requirements, including medical necessity justification, plan-specific policy citations, and supporting clinical evidence.
Submit to the correct BCBS plan appeals address (we provide it). Track the outcome to help our AI learn which arguments work best for each of the 34 BCBS companies.
Our AI learns from every appeal. Different companies, optimized strategies.
We switched from Anthem to Horizon BCBS and thought we'd have to relearn everything about appeals. Muni handled it automatically—same workflow, different plan policies. Saved us weeks of training.
Works with all 34 Blue Cross Blue Shield plans. Start with 3 free appeals. We handle the complexity.
Trusted by 500+ independent practices • All 34 BCBS plans • HIPAA Compliant
Everything you need to know about fighting BCBS denials across all 34 plans
Check the member ID card—it will show the specific BCBS company (e.g., "Anthem Blue Cross," "Premera Blue Cross"). Muni automatically detects this from the denial letter, so you don't need to specify. We handle the complexity.
Yes. Many BCBS companies offer Medicare Advantage plans (e.g., Anthem Medicare Advantage). Muni handles both commercial BCBS and BCBS MA plans, applying CMS guidelines where applicable.
Muni supports all 34 independent BCBS licensees, including smaller regional plans like Capital BlueCross, BCBS of Kansas City, and BCBS of Vermont. Our AI is trained on policies from every single BCBS company. Stop letting them confuse you with complexity.
Most BCBS companies respond within 30 days for standard appeals, 72 hours for expedited. In our experience with 5,200+ BCBS appeals, most decisions come back in 14-21 days. Some plans like Horizon are faster (10-14 days average).
Can't find the answer you're looking for? Our support team is here to help.
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