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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Address: Farm Bureau Health Plans P.O. Box 266380 Weston, FL 33326Fax Number: 8444031028You

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What is online coverage determination request?

Online coverage determination request is a request made to the insurance company or healthcare provider to determine whether a specific medical service or treatment will be covered by an insurance plan.

Who is required to file online coverage determination request?

Anyone who is seeking coverage for a specific medical service or treatment may be required to file an online coverage determination request.

How to fill out online coverage determination request?

To fill out an online coverage determination request, you will need to provide information about the medical service or treatment, your insurance plan details, and any supporting documentation.

What is the purpose of online coverage determination request?

The purpose of an online coverage determination request is to seek approval from the insurance company or healthcare provider to cover a specific medical service or treatment.

What information must be reported on online coverage determination request?

Information such as the name of the patient, details of the medical service or treatment, insurance plan information, and any supporting documentation must be reported on an online coverage determination request.

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