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Web complete the predetermination request form and fax to bcbstx using the appropriate fax number listed on the form or mail to p.o. See if your health plan covers mdlive. Web a claim reconsideration is a request to review and/or reevaluate a claim that has been finalized. Bcbstx recommends submitting a predetermination of benefits. Make sure all fields are completed. Web prior authorization requests for medical care and medications. Web only use this form for requests for predetermination.
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