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Issue No. 296 August 2008 Healthcare News www.bcbsnd.com www.thor.org In This Issue... Federal Employee Program Recertification Requirements............................................................................
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How to fill out precertification requirements - bb:

01
Start by gathering all the necessary documentation and information required for the precertification process. This may include medical records, test results, and any other relevant documents.
02
Review the precertification form or application provided by your insurance provider. Familiarize yourself with the required fields and any specific instructions or guidelines provided.
03
Make sure you have all the necessary information and details for each section of the form. This may include personal information, healthcare provider information, and details about the treatment or procedure needing precertification.
04
Complete the precertification form accurately and thoroughly. Double-check for any errors or missing information before submitting.
05
If there are any supporting documents or additional information required, ensure that you attach them along with the completed form.
06
Follow any additional instructions provided by your insurance provider, such as obtaining a referral from your primary care physician or obtaining prior authorization for certain treatments.
07
Submit the precertification form and any accompanying documents through the designated method provided by your insurance provider. This may include online submission, fax, or mail.
08
Keep a copy of the completed form and any supporting documents for your records.
09
Follow up with your insurance provider to confirm receipt of the precertification form and to inquire about the status of your request. Be prepared to provide any additional information or clarification if necessary.

Who needs precertification requirements - bb:

01
Individuals who have health insurance coverage that requires precertification for certain medical treatments, procedures, or services.
02
Patients who are planning to undergo a treatment or procedure that is considered to be expensive, non-emergency, or subject to specific criteria set by the insurance provider.
03
Healthcare providers who need to obtain approval or verification from an insurance company before proceeding with a treatment or procedure to ensure coverage and reimbursement.
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Precertification requirements - bb refer to the specific criteria or documentation that needs to be submitted and approved before a service or treatment is covered by insurance.
Healthcare providers or facilities, as well as patients, may be required to file precertification requirements - bb depending on the insurance policy and the type of treatment or service.
Precertification requirements - bb can usually be filled out online through the insurance company's portal, or by submitting the necessary documentation via fax or mail.
The purpose of precertification requirements - bb is to ensure that the proposed treatment or service meets the medical necessity criteria set by the insurance company, and to avoid unnecessary costs or treatments.
The required information on precertification requirements - bb may include the patient's demographic information, the healthcare provider's information, the proposed treatment or service, and any supporting medical documentation.
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