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  • 2016-10 Authorization Form - Bcbsla.com

Get 2016-10 Authorization Form - Bcbsla.com

Authorization Form Fax: 18005862299 Complete this form to submit authorizations for Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc.

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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.

Blue Cross and Blue Shield of Louisiana, an independent licensee of the Blue Cross and Blue Shield Association, offers Blue Advantage (PPO). The purpose of this form is to request a prior authorization for outpatient services and Part B drugs. Please fax this completed form to 1-877-528-5816, Attn. Medical Management.

The $2.5 billion sale to Indianapolis-based Elevance Health, formerly known as Anthem, was cheered by many community leaders who said Blue Cross chose a strong partner amid a changing U.S. insurance market and would improve the lives of Louisianans with its planned multibillion-dollar foundation.

Customer Service Service Inquiries (Benefits, Claims, Bill Pay and Other Service issues) 1-800-495-2583 (toll-free) ... Fax. (225) 297-2727. E-Mail* help@bcbsla.com. Secure Online Contact Form. Contact us 24 hours a day, seven days a week through our secure online inquiry form. Hearing Impaired. 1-800-846-5277. TTY Callers (TTY)

Providers may request authorization by calling 1-800-523-6435 or by using our authorizations tool available on iLinkBlue (.BCBSLA.com/ilinkblue >Authorizations).

The normal process for medications that require a prior authorization will be followed. Members should contact us at the number on the back of their member ID card if they have questions on these types of medications, or call 1-800-FLA-BLUE (1-800-352-2583).

Fax: 1-800-586-2299 Complete this form to submit authorizations for Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc.

Mon - Fri from 8 a.m.- 5 p.m.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232