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Get and Sign Bcbs of Georgia Eft Enrollment Form

Get and Sign Blue Cross Prior Authorization Form

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Indicated below. NOTE: A separate form is required for each Tax Identification Number & Location. Incomplete enrollment form will cause delay. Provider Name: __________________________________________________________________________________ Provider/Supplier Legal Business Name:_______________________________________________________________ Tax ID Number: ________________________________________ Location Suffix:_ _ _ (New form required for each suffix, See Instruction page) Physical...
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This program is brought to you by Emory university Emory hEvalthcare and blue cross blue shield of Georgia have been in discussions to launch a transformational and collaborative initiative focusing on increasing value to the patients and families we served and again principally by improving the clinical outcomes for patients Blue Cross and Blue Shield is the largest hEvalthcare solutions company in Georgia Emory hEvalthcare is the largest provider system in the state of Georgia both Emory hEvalthcare and Blue Cross and Blue Shield believe this partnership will positively impact hEvalth outcomes and ultimately the cost of care for many Georgians going forward one of the things I think we all collectively agree on with the Accountable Care Act is that we have an untenable situation as relates the cost of hEvalthcare and one of the things that's very positive is these collaborative relationships being formed to truly look at hEvalthcare differently in the financing of hEvalthcare differe

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