
877 325 5979 Form


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People also ask blue cross of michigan prior authorization form
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Does Michigan Medicaid require prior authorization?
Some services and procedures require prior authorization. Referrals and prior authorizations must be obtained prior to services being rendered.
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What services does not require prior authorization?
Some services do not require Prior Authorization, they include: Emergency Care, Urgent Care, Preventive services, Family planning services, Out of area renal dialysis services, Basic prenatal care, Sexually transmitted disease services, and. HIV testing.
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Is prior authorization always required?
Health plans each have their own rules in terms of what services need prior authorization. In general, the more expensive the procedure, the more likely a health plan is to require prior authorization. But some services will require prior authorization under one health plan and not under another.
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What is the phone number for BCBS of Michigan prior authorization?
Professional: 1-800-344-8525. Facility: 1-800-249-5103.
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What is the number for prior authorization for BCBS Michigan?
Providers can request a coverage determination (prior authorization, step therapy, formulary exception or quantity limit exception) by phone at 1-800-437-3803 or by using the information in the Medicare Plus Blue PPO section of the For Providers Drug Lists page on bcbsm.com/providers.
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What is the fax number for Blue Cross Blue Shield of Michigan medication prior authorization?
Requests can be submitted by faxing to 1-877-495-3755.
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Do Blue Cross and Blue Shield of Michigan cover Zepbound?
Beginning January 1, 2025, or on your group's 2025 health coverage renewal date, Blue Cross Blue Shield of Michigan and Blue Care Network will no longer cover prescriptions for glucagon-like peptide- agonist drugs used for weight loss, including Saxenda®, Wegovy® and Zepbound®.
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Does BCBS of Michigan require prior authorization?
Blue Cross Blue Shield of Michigan and Blue Care Network require health care providers to obtain approval before providing certain services. This approval is known as prior authorization and it helps to ensure that the services are appropriate for the patient's condition and are medically necessary.
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