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Request for Redetermination of Medicare Prescription Drug Denial Because we Blue Cross Medicare Advantage (HMO SNP) denied your request for coverage of (or payment for) a prescription drug, you have
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How to fill out because we blue cross:

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Start by gathering all the necessary information and documents. This may include your personal details, such as name, address, date of birth, and social security number, as well as any relevant medical information.
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