Get the free BlueAdvantage (PPO)SMBlueChoice (HMO)SM Substance Abuse Clinical Service Authorizati...

BlueAdvantage (PPO×SMBlueChoice (HMO×SM Substance Abuse Clinical Service Authorization Request Form Please complete this form for both initial and concurrent requests and fax to: 14235919499 or

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Blueadvantage PPO and Bluechoice HMO substance refers to the required reporting of certain health care coverage information.

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Health care providers and insurance companies are required to file Blueadvantage PPO and Bluechoice HMO substance.

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Blueadvantage PPO and Bluechoice HMO substance can be filled out electronically through the designated reporting system.

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Information such as member enrollment data, claims data, and provider network information must be reported on Blueadvantage PPO and Bluechoice HMO substance.