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BCB SAZ INTEGRATED CARE MANAGEMENT REFERRAL FORMER PROVIDER USE Only refer a BCB SAZ member to the BCB SAZ Integrated Care Management program, please complete this form and send in a SECURE email
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01
First, gather all necessary information and documentation needed for the integrated care management form.
02
Fill out the personal information section including name, address, phone number, and date of birth.
03
Provide information about your primary care physician and any specialists you are currently seeing.
04
Detail any medical conditions or health concerns you have that may require special attention.
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List any medications you are currently taking and include the dosage and frequency.
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Complete any additional sections related to your mental health, social support, and lifestyle habits.
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Review the form for accuracy and completeness before submitting it to bcbsaz for integrated care management.
Who needs bcbsaz integrated care management?
01
Individuals with complex medical conditions requiring coordinated care from multiple healthcare providers.
02
Individuals with chronic illnesses that require ongoing monitoring and management.
03
Patients who may benefit from having a care coordinator to help navigate the healthcare system and access needed services.
04
Individuals at risk for hospital readmission or frequent emergency room visits due to their health condition.
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What is bcbsaz integrated care management?
bcbsaz integrated care management is a program designed to coordinate and manage the care of Blue Cross Blue Shield of Arizona members with complex medical needs.
Who is required to file bcbsaz integrated care management?
Healthcare providers and facilities participating in the Blue Cross Blue Shield of Arizona network are required to file bcbsaz integrated care management.
How to fill out bcbsaz integrated care management?
Providers can fill out bcbsaz integrated care management by submitting the necessary forms and documentation through the Blue Cross Blue Shield of Arizona portal or designated channels.
What is the purpose of bcbsaz integrated care management?
The purpose of bcbsaz integrated care management is to improve patient outcomes, reduce costs, and enhance the overall quality of care for Blue Cross Blue Shield of Arizona members.
What information must be reported on bcbsaz integrated care management?
Providers must report detailed information about the medical history, current treatment plans, and any other relevant data related to the care of Blue Cross Blue Shield of Arizona members.
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