Prior approval lists by plan, standard and basic option prior approval list, FEP Blue Focus prior approval list, prior approval/pre-service request forms. |
Download a claim form for medical services, pharmacy services or overseas care. Medical Forms Health Benefits Claim Form |
Depending on the type of care you require, you may need pre-approval (in the form of a prior authorization, precertification or both). |
Include applicable diagnoses, procedure codes, and medical information with your prior approval request form. Prior approvals are usually valid for 90 days, as ... |
FEP has partnered with CoverMyMeds to offer electronic prior authorization (ePA) services. Select the appropriate FEP form to get started. |
Prior Approval Request Form. Please complete this form when requesting prior approval for hearing aid devices or services. Prior Approval is also required ... |
Prior approval request form_Alaska or Prior approval request form_Washington – Use to submit a pre-service request. Precertification/Concurrent Review Request ... |
Notice: The Federal Employee Program has a 15 Day turn-around time on all Prior Authorization Requests according to the Blue Cross Blue Shield Service Benefit ... |
Approval will be given once all required documentation has been received. Prior authorization forms may be found at: https://www.caremark.com/wps/portal ... |
**Applies to FEP Blue Focus plans only. Please submit FEP prior authorization requests to the Blue Cross and Blue Shield Association organization in the ... |
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