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Prior Authorization Criteria Form 10/10/2013 Fallon Community Health Plan CHP FALLON COMMUNITY HEALTH PLAN Formulary Blood Glucose Meters (CHP) This fax machine is located in a secure location as

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What is non-formulary blood glucose meters?

Non-formulary blood glucose meters are glucometers that are not on the approved list of devices covered by a particular health insurance plan or formulary.

Who is required to file non-formulary blood glucose meters?

Patients or healthcare providers may be required to file non-formulary blood glucose meters with the insurance company for reimbursement purposes.

How to fill out non-formulary blood glucose meters?

Non-formulary blood glucose meters should be filled out accurately with the necessary information, such as patient details, device information, and other relevant data.

What is the purpose of non-formulary blood glucose meters?

The purpose of non-formulary blood glucose meters is to ensure proper documentation and reimbursement for the use of glucometers that are not on the approved list.

What information must be reported on non-formulary blood glucose meters?

Information such as patient name, device details, date of use, and any other relevant data must be reported on non-formulary blood glucose meters.

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