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Complex Case Management Trigger Events and Diagnosis Codes Adult/Pediatric/High-rise Maternity Horizon Blue Cross Blue Shield of New Jerseys Complex Case Management Program is a free, voluntary service
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Who needs complex case management trigger?

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Complex case management triggers are required by professionals and organizations involved in managing complex cases.
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Complex case management trigger is a set of criteria used to identify cases that require extra attention due to their complexity or severity.
Healthcare providers or insurance companies are typically required to file complex case management triggers.
Complex case management triggers can be filled out by providing detailed information about the patient's condition, treatment plan, and any additional support needed.
The purpose of complex case management trigger is to ensure that patients with complex medical conditions receive the necessary care and support.
Information such as patient demographics, medical history, diagnosis, treatment plan, and any relevant supporting documents must be reported on complex case management trigger.
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