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Prior Authorization Request Form Please fax completed form to Pharmacy Customer Service. Fax: 601-664-5003 / Phone: 1-800-551-5258 or 601-664-4998 For Mississippi State and School Employees Health
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How to fill out 800 551 5258 form
How to fill out MS BlueCross BlueShield 22287
01
Start by obtaining the MS BlueCross BlueShield 22287 form from an official source.
02
Fill in your personal information, including your name, address, and policy number in the designated sections.
03
Provide the details of the services or claims being submitted, including dates and descriptions.
04
Include any required supporting documents such as bills or receipts.
05
Review the form for accuracy and completeness to ensure all necessary information is included.
06
Sign and date the form at the bottom where indicated.
07
Make a copy of the completed form and any attachments for your records.
08
Submit the form as instructed, either by mail, fax, or online through the designated portal.
Who needs MS BlueCross BlueShield 22287?
01
Individuals who are members of MS BlueCross BlueShield.
02
Healthcare providers seeking reimbursement for services rendered to BCBS members.
03
Patients looking to file a claim for medical services received.
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People Also Ask about
What is the timely filing limit for BCBS of Mississippi?
Time Limits Filing limit appeals must be received within 60 days of the original BCBSRI EOP date. Any claim with a date of service more than 60 days old will not be considered for filing limit appeal. An appeal received after the applicable appeal filing limit will not be considered and cannot be appealed.
Who is the PBM for BCBS of Mississippi?
CVS Caremark is the pharmacy benefit manager (PBM) for the Plan's prescription drug program.
What is the customer service number for Blue Shield?
Customer Service and Operations Center Office and phone hours: 8:00 a.m. to 4:30 p.m., Mon. -Fri.
What is BCBS MS fax number?
With whom do you file a medical claim? Or fax claims to 601-664-5342.
What is the phone number for BCBS Mississippi Federal provider?
For Federal Customer Service inquiries, please call us at 1-800-932-7724 or 601-932-4252, Monday through Friday between 8:00 a.m. and 4:30 p.m.
What is the phone number for BCBS of Mississippi?
If you are interested in our Blue Cross & Blue Shield of Mississippi Clearinghouse services, please contact our Provider eSupport Services team at 601-664-4357.
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What is MS BlueCross BlueShield 22287?
MS BlueCross BlueShield 22287 is a specific form or document used for healthcare reporting and claims purposes under the BlueCross BlueShield health insurance network.
Who is required to file MS BlueCross BlueShield 22287?
Typically, healthcare providers or institutions that offer services to patients covered by BlueCross BlueShield plans are required to file MS BlueCross BlueShield 22287.
How to fill out MS BlueCross BlueShield 22287?
To fill out MS BlueCross BlueShield 22287, follow the instructions provided on the form, entering all required patient and service information accurately, ensuring billing codes and patient identifiers are correct.
What is the purpose of MS BlueCross BlueShield 22287?
The purpose of MS BlueCross BlueShield 22287 is to facilitate the submission of healthcare claims and to provide necessary details for reimbursement by the insurance provider.
What information must be reported on MS BlueCross BlueShield 22287?
Information that must be reported on MS BlueCross BlueShield 22287 includes patient demographics, insurance details, service codes, provider information, and any other relevant data needed for claims processing.
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