Instructions for Submitting REQUESTS FOR …
REQUESTS FOR PREDETERMINATIONS Predeterminations are not required. A predetermination is a voluntary, written request by a member or a provider to determine if a proposed treatment or service is covered under a patient’s health benefit plan. Predetermination approvals and denials are usually based on our medical policies.
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The BlueCard® Program (out-of-state claims)
www.bcbsmt.comBlueCard (out-of-state claims) BCBSMT is a division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
Get the Right Coverage - Health Insurance Montana
www.bcbsmt.comGet the Right Coverage Call 855-593-1515, visit www.bcbsmt.com or contact an independent, authorized Blue Cross and Blue Shield of Montana agent to get a quote today.
Submitting Electronic Replacement and/or Void Claims
www.bcbsmt.comFor electronic professional and institutional claims (837P and 837I transactions), it is important to use the appropriate Claim Frequency Code in CLM05-3 to indicate the claim is a correction of a previously adjudicated (approved or denied) claim. The valid claim frequency codes are: 1 Indicates the claim is an original claim
Instructions for Submitting REQUESTS FOR …
www.bcbsmt.comBCBSMT, P.O. Box 4309, Helena, MT, 59604. 11. For Federal Employee Program members, fax each completed Predetermination Request Form to 888-368-3406. If unable to fax, you may mail your request to BCBSMT, P.O. Box 7982, Helena, MT, 59604-7982. Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation,
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