Example: dental hygienist
Review Request Form - BCBSOK
Please mail the inquiries to: Blue Cross and Blue Shield of Oklahoma P.O. Box 3283 Tulsa, OK 74102-3283 • Allowed Amount or Contractual Amount • Corrected claims • Coordination of Benefits • Diagnosis Codes • Explanation of Benefits from other carriers •temized Bills (speech, occupational and I physical therapies)
Download Review Request Form - BCBSOK
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