Elective in-patient stays require prior authorization. The process is the same as for all authorizations. The request is submitted to the Key Medical Group with all information documenting the medical necessity for the admission.
If a patient is admitted from the physician's office, an authorization request form will need to be submitted notifying Key Medical Group of the admission, however you do not need to wait for an authorization number to admit the patient on an urgent/emergency basis. For patients who are admitted on an emergency basis, the hospital must notify Key Medical Group of the admission.
Blue Shield Member- In patient Services
Key Medical Group no longer authorize in-patient services for members with Blue Shield insurance. Please contact Blue Shield at (800) 541-6652, opt. 6.
Hospitals are required to notify Key Medical Group once a patient is admitted by faxing a face sheet to (559) 334-0112. When the face sheet is faxed, Key Medical Group will return the fax with a confirmation tracking notification number. If the face sheet is not returned, contact Key Medical Group at (559) 735-3892 to confirm receipt. Patients must meet appropriate medical requirements to be in-patient.