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Blue Cross Bluesier of Tennessee Gender Reassignment Surgery Recertification Request Form The BCPST Medical Policy for Gender Reassignment Surgery can be found at http://www.bcbst.com/MPManual/Gender×Reassignment.htm PLEASE
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How to fill out gender reassignment precertification request

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How to fill out gender reassignment precertification request

01
Obtain the necessary precertification request form from your insurance company.
02
Fill out the patient information section of the form, including your name, date of birth, and contact information.
03
Provide your insurance policy information, such as your policy number and group number.
04
Clearly indicate the reason for the precertification request, specifying that it is for gender reassignment surgery.
05
Include any supporting documentation that may be required, such as a letter from a medical professional or therapist.
06
Provide a detailed explanation of the procedure you are seeking precertification for, including the specific surgeries or treatments involved.
07
Indicate the anticipated date of the gender reassignment surgery and any other relevant dates.
08
Sign and date the form, acknowledging that the information provided is accurate and complete.
09
Submit the completed precertification request form to your insurance company by mail, fax, or electronically as per their instructions.
10
Keep a copy of the completed form and any supporting documentation for your records.

Who needs gender reassignment precertification request?

01
Individuals who are seeking gender reassignment surgery and have insurance coverage for this procedure.
02
People who are planning to undergo gender reassignment surgery and have a healthcare insurance policy that requires precertification for this procedure.
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Gender reassignment precertification request is a formal request submitted to obtain approval for gender reassignment surgery or related procedures.
Individuals seeking to undergo gender reassignment surgery or related procedures are required to file a gender reassignment precertification request.
To fill out a gender reassignment precertification request, individuals must provide detailed information about the planned surgery, medical history, and supporting documentation from healthcare providers.
The purpose of a gender reassignment precertification request is to obtain approval from the insurance provider for coverage of gender reassignment surgery or related procedures.
The gender reassignment precertification request must include information such as the type of surgery, healthcare provider recommendations, medical necessity, and supporting documentation.
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