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Bcbs of Illinois Predetermination Form

Bcbs of Illinois Predetermination Form

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hello this is dr eric bricker and this is how health insurance works today's topic is prior authorization so believe it or not you must get permission from your health insurance company for certain tests or procedures or medications and if you do not get permission the insurance company won't pay so what are some example tests things like mris ct scans cardiac stress tests what are some procedures spine surgery joint surgeries like total knee and hip replacements for prior authorization sometimes for medications as well typically for more expensive medications an example might be humira which costs several thousand dollars a month for rheumatoid arthritis or even for medications that you're given at the hospital or doctor's office like chemotherapy if you have cancer now here's the tricky part oftentimes your doctor or the hospital they do not know what requires prior authorization and what doesn't because they're dealing with so many different insurance policies they have no idea so

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