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ATTACHMENT H Blue Distinction Centers For transplants (BDCT) INSTITUTION BILLING SUMMARY FORM SOLID ORGAN TRANSPLANT Use the tab key to move from field to fieldInitial form Additional form Revised.

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With Basic Option, you can enjoy no deductible with care from in-network providers. Standard Option gives you the flexibility to receive care both in and out-of-network.

How to File a Claim Call Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone. Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us.

This phrase usually refers to physicians, hospitals or other healthcare providers who do not participate in an insurer's provider network. This means that the provider has not signed a contract agreeing to accept the insurer's negotiated prices.

The FEP membership card is identified on the card by the words "Federal Employee Program" and "Government-Wide Service Benefit Plan" and enrollment codes 104, 105, 106, 111, 112, 113, and 131, 132, and 133. For more information, refer to Federal Employee Program (FEP).

Important coverage information Your member ID card contains information related to your specific coverage, including: Your member ID number. What plan you're enrolled in: FEP Blue Focus, Basic Option or Standard Option. The effective date of coverage.

The FEP membership cards are identified by coverage codes 104, 105, and 106 for the Standard Option and 111, 112, and 113 for the Basic Option. FEP Blue Focus enrollment codes are 131, 132 and 133. Basic Option members must use preferred providers for all medical care (with some exceptions, such as emergency care).

Health Insurance today Chapter 11, QuestionAnswerThe outpatient pretreatment authorization plan (OPAP) is also known as:precertificationWhat title is listed on the BCBS identification cards for federal employees?government-wide service benefit planBCBS Medicare supplemental plans are also known as?medigap32 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
Content Takedown 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