CommercialPrior AuthMedium impact
Liver Transplant and Combined Liver-Kidney Transplant
Blue Cross & Blue Shield of Mississippi·MS · Gastroenterology, General Surgery, Nephrology +1 more·Medical Policy
We identified it
Jun 20, 2026
Summary
Blue Cross & Blue Shield of Mississippi updated their liver transplant and combined liver-kidney transplant policy. The policy requires prior authorization through case management for all covered transplant procedures and provides detailed medical necessity criteria for liver transplantation.
Action Required
Immediately: Billing team must ensure prior authorization is obtained through case management from Blue Cross & Blue Shield of Mississippi before scheduling any liver transplant or combined liver-kidney transplant procedures. Update pre-authorization workflows to include this requirement. Claims will be denied without proper prior authorization.