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Total Healthcare Management, Utilization …

Total Healthcare Management, Utilization Management and Transition of Care 58 59 Commercial authorization Submission Options and Requirements Options: Online -- Register via BlueAccessSM at -- 24/7 access -- Automated approvals when guidelines met Phone 1-800-924-7141 (423) 535-5717, option 2 Fax See Transition of Care contact list Commercial Requirements 60 Medical Policy Criteria Hierarchy Commercial BlueCare MedAdvantage of Coverage (EOC) / Benefit Plan Medical Policy Guidelines (Not used for pharmaceutical/specialty medication agents) applicable, a Vendor Program Policy ( , MedSolutions) is used by the vendor in the absence of a BlueCross or MCG document addressing a given topic.

• A voicemail box is available after business hours and on weekends/holidays so you can call us. • Contact the normal authorization line at 1- 800-924-7141

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