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Request for Preservice Review Anthem Blue Cross Blue Shield Partnership Plan, Inc. State Sponsored Business Phone: (866) 896-6580 Fax: (888) 209-7838 UTILIZATION MANAGEMENT Date Request Submitted:
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What is request for preservice review?
A request for preservice review is a process used to obtain approval for medical services before they are provided.
Who is required to file request for preservice review?
The healthcare provider or the patient may be required to file a request for preservice review, depending on the insurance policy terms.
How to fill out request for preservice review?
To fill out a request for preservice review, you typically need to provide information such as patient details, diagnosis, proposed treatment, and supporting medical documentation. These forms can be obtained from the insurance company or its designated review organization.
What is the purpose of request for preservice review?
The purpose of the request for preservice review is to ensure that the proposed medical services are medically necessary and meet the criteria for coverage as set forth by the insurance provider.
What information must be reported on request for preservice review?
The request for preservice review typically requires information such as patient demographics, medical history, clinical documentation, proposed treatment plan, and any additional supporting documentation.
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