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ENROLLMENT FORM Please print clearly, answer all questions, sign and return in the enclosed businessreply envelope. NAME LastFirst ADDRESS Street or P. O. Box CITY DATE OF BIRTH Month Day YearPHONE.

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As a not-for-profit, mutual insurance company, Arkansas Blue Cross is owned by its policyholders, not by stockholders.

Prior authorization is a process though which Arkansas Blue Cross and Blue Shield approves a request for a covered healthcare service before the member receives the service from a provider. Prior authorization must be requested and approved before the member to receives services. If not, the claim will be denied.

You may obtain a prior authorization by calling 1-877-642-0722. NIA Magellan can accept multiple requests during one phone call. Authorizations are valid for 45 business days from the date of final determination.

Prior authorization—sometimes called precertification or prior approval—is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.

As an operating division of Arkansas Blue Cross and Blue Shield, BlueAdvantage provides customized, high-quality health benefits administration and related outsourcing services to self-funded groups.

A.M. Best also affirmed an A (Excellent) rating in 2016 for an Arkansas Blue Cross and Blue Shield affiliate, HMO Partners, Inc. (Health Advantage), the largest health maintenance organization (HMO) in Arkansas.

What is prior authorization? This means we need to review some medications before your plan will cover them. We want to know if the medication is medically necessary and appropriate for your situation. If you don't get prior authorization, a medication may cost you more, or we may not cover it.

Since spring, Arkansas Blue Cross and Blue Shield has helped train more than 800 people in communities across Arkansas in Mental Health First Aid. It's part of our commitment to addressing the mental well-being of the Natural State. A group of Arkansas Blue Cross employees also joined a recent class.

Blue Cross and Blue Shield of Texas (BCBSTX) offers individual health plans for you and your family, Medicare and Medicaid plans for those who qualify and other health plan options to best fit your needs.

Identification (ID) card Walmart associates who currently have coverage through other Blue Plan will receive new ID cards, reflecting a new alpha prefix of WMW.

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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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