Get the free 2018 Regence BlueShield Pre-Authorization Request Form - ie lynden wednet

Regency Bluesier of Washington Mail form to: PO Box 1271 Portland, OR 972071271 Fax to: 18663035117Application For Enrollment/Change (101+) Please print in black ink. Incomplete and/or illegible information

How to fill out 2018 regence blueshield pre-authorization

How to fill out 2018 regence blueshield pre-authorization

1. To fill out the 2018 Regence Blueshield pre-authorization, follow these steps:
2. Obtain the pre-authorization form from the Regence Blueshield website or contact their customer service for a copy.
3. Fill out the patient's personal information section at the top of the form, including name, date of birth, and contact information.
4. Provide details of the healthcare provider or facility requiring pre-authorization, such as name, address, and contact information.
5. Specify the type of service or treatment that requires pre-authorization.
6. Include relevant medical codes, such as diagnosis and procedure codes, if applicable.
7. Attach any supporting documentation required by Regence Blueshield, such as medical records or test results.
8. Sign and date the form to authorize Regence Blueshield to access the patient's medical information.
9. Submit the completed pre-authorization form to Regence Blueshield through their designated submission channels, such as mail or online portal.
10. Wait for confirmation and approval from Regence Blueshield before proceeding with the requested service or treatment.

Who needs 2018 regence blueshield pre-authorization?

1. Those who have Regence Blueshield insurance coverage and require certain healthcare services or treatments may need to obtain pre-authorization.
2. Pre-authorization is typically needed for services that are considered elective, non-emergency procedures, or have specific coverage criteria.
3. It is advised to check with Regence Blueshield directly or consult the insurance policy documentation to determine if pre-authorization is required for a specific service or treatment.
4. Examples of services that commonly require pre-authorization include certain surgeries, specialized treatments, advanced imaging, and high-cost medications.
5. Healthcare providers may also assist in determining if pre-authorization is necessary and can help facilitate the process.

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