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FAX Submission BH Clinical Review and Notification Forms Submit completed form to: Blue Cross and Blue Shield of NM Email: BHutilizationManagement BCBSNM.com Fax: 505.8164902 Molina Healthcare Email:
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How to Fill Out BH Clinical Review And:

01
Start by gathering all relevant information: Before filling out the BH clinical review, make sure you have all the necessary information and documentation handy. This may include patient demographics, medical history, current medications, and any relevant diagnostic tests or reports.
02
Review the BH clinical review form: Familiarize yourself with the format and sections of the BH clinical review form. Take note of any specific instructions or requirements mentioned on the form.
03
Provide accurate patient information: Begin by filling out the patient information section accurately. This typically includes the patient's name, date of birth, contact information, and insurance details. Double-check the information for any errors or missing details.
04
Document the reason for the BH clinical review: Clearly state the reason for conducting the clinical review in the provided section. Describe the patient's symptoms, complaints, or any specific issues that necessitated the review. Be concise and include any relevant details to support the reason for the review.
05
Complete the medical history section: Provide a detailed medical history of the patient, including any previous diagnoses, treatments, or surgeries. Indicate any relevant chronic conditions, allergies, or medications the patient is currently taking. This information helps in understanding the patient's overall health status and can assist in making appropriate treatment decisions.
06
Include the provider's assessment and recommendations: In this section, the provider conducting the clinical review should include their assessment of the patient's condition. This may involve analyzing the information provided in the previous sections, reviewing diagnostic test results, and considering the patient's medical history. Based on this assessment, provide appropriate recommendations for further treatment or interventions.
07
Submit the BH clinical review: Once you have filled out all the necessary sections and double-checked for accuracy, ensure that the form is signed and dated. Follow the specified submission process for the clinical review, which may involve sending it electronically or mailing a physical copy to the relevant authority or insurance provider.

Who Needs BH Clinical Review And:

01
Healthcare professionals: BH clinical reviews are typically conducted by healthcare professionals such as doctors, psychologists, or psychiatrists. These reviews help in assessing the mental health status of a patient, evaluating treatment options, and ensuring appropriate care.
02
Insurance providers: Insurance companies often require BH clinical reviews to determine the medical necessity of specific mental health services or treatments. These reviews help them establish whether the requested services align with the patient's diagnosis and recommended treatment guidelines.
03
Patients seeking mental health services: Individuals who are seeking mental health services, whether through their insurance coverage or other means, may need to undergo a BH clinical review. This review provides an objective evaluation of their condition, determines appropriate treatment options, and may influence insurance coverage or reimbursement for mental health services.
In summary, filling out the BH clinical review involves gathering relevant information, accurately documenting patient details, providing a clear reason for the review, and offering appropriate assessments and recommendations. The review is typically needed by healthcare professionals, insurance providers, and individuals seeking mental health services.
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BH clinical review refers to the process of reviewing the clinical information related to behavioral health services.
Healthcare providers and facilities that offer behavioral health services are required to file BH clinical reviews.
BH clinical reviews can be filled out online or through paper forms provided by insurance companies or regulatory bodies.
The purpose of BH clinical review is to ensure the quality and necessity of behavioral health services provided to patients.
Information such as patient demographics, diagnosis, treatment plan, progress notes, and outcomes must be reported on BH clinical review forms.
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