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  • Ar Bcbs Chronic Obstructive Pulmonary Disease Enrollment Form 2014

Get Ar Bcbs Chronic Obstructive Pulmonary Disease Enrollment Form 2014-2025

- Last First Area Code ADDRESS PHONE NO. (work) - - Street or P. O. Box Area Code CITY DATE OF BIRTH - - Month Day Year - GENDER: q F q M State Zip E-MAIL AVAILABILITY: q Yes q No HEALTH INSURANCE ID CARD NO. (This will be your ID number for this program).

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Utilization of these drugs for weight loss is considered a non-FDA- approved use and additionally, weight loss drugs are not a covered benefit for Arkansas Blue Cross and Blue Shield or Health Advantage members.

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.

Arkansas Blue Cross and Blue Shield Customer Service. 800-482-6655 AR only. 501-378-2531. Precertification. 800-451-7302. Mental Health/Substance Use Disorder Precertification. 800-367-0406.

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.

Arkansas Medicaid requires that some surgical procedures be authorized by AFMC prior to the performance of the procedure.

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.

Appeal information must be submitted in writing and must include the reason the member and/or the provider disagrees with the determination and any supporting information. Urgent appeals may be faxed to 501-378-3366.

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.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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