Bcbs of Illinois Predetermination Form
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People also ask
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What is the fax number for prior authorization for BCBS of NC?
Including home health care services, durable medical equipment, behavioral health (mental health/substance use disorder) and the Prior Review List. The Avalon portal will not be available until 4/23. Please fax the completed form to Avalon's Medical Management Department at 813-751-3760.
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How do I submit for BCBS reimbursement in Illinois?
Claims may be submitted one-at-a-time by entering information directly into an online claim form on the vendor portal; or batch claims may be submitted via your Practice Management System (check with your software vendor to ensure compatibility).
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Does Bcbsil require prior authorization?
Prior authorization is required for some members/services/drugs before services are rendered to confirm medical necessity as defined by the member's health benefit plan. A prior authorization is not a guarantee of benefits or payment.
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What is the fax number for BCBS of Illinois?
Contact Us Contact Name/DescriptionURL/Email/Phone/FaxBehavioral Health Unit1-800-851-7498 FEP: 1-800-779-4602 Fax: 877-361-7656 BCBSIL BH Unit PO Box 660240 Dallas, TX 75266-0240BlueCard® Hotline Call for out-of-state member eligibility and benefits1-800-676-BLUE (2583)11 more rows
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What is the fax number for BCBS of Illinois prior authorization?
Plan from seeking additional information or documents from Provider in relation to its review of other requests or matters. 10. Fax each completed Predetermination Request Form to 800-852-1360. If unable to fax, you may mail your request to BCBSIL, PO BOX 805107, Chicago, IL, 60680-3625.
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Does Bcbsil require prior authorization?
Prior authorization is required for some members/services/drugs before services are rendered to confirm medical necessity as defined by the member's health benefit plan. A prior authorization is not a guarantee of benefits or payment.
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What is the provider phone number for prior authorization BCBS of Illinois?
If you want to know more about this process or how decisions are made about your care, contact Member Services at 1-877-860-2837 (TTY/TDD: 711).
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What is insurance predetermination?
A predetermination estimate allows you to know in advance what is covered and what your share of the costs will be before you receive a service. Some dental services may be limited or not covered by your plan. It also shows you any deductible or maximums applied.
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