DentaQuest is an independent company that provides dental benefits for BCBSILs Medicaid plans. You also can call the MMAI plan's pharmacy help-line. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the conditions of the patient in determining the appropriate course of treatment. 12 0 obj <> endobj 64 0 obj <>/Filter/FlateDecode/ID[<377B542E37144E99AA8D3C27588EFAA9><9D42E3C64D6B4195AB6A428BC62E2046>]/Index[12 96]/Info 11 0 R/Length 151/Prev 468246/Root 13 0 R/Size 108/Type/XRef/W[1 3 1]>>stream If an appeal has been filed, the peer-to-peer discussion is no longer available. endobj `9wL Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Provider Finder. Drug Coverage. endstream endobj startxref This step will help you confirm prior authorization requirements and utilization management vendor information, if applicable. PDF Post-Acute Care Utilization Management Program for Blue Cross and Blue Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. What is the most popular and difficult historic site trail in Wetter? The BCBSIL Medical Policies are for informational purposes only and are not a substitute for the independent medical judgment of health care providers. See Chapter 4 of theMember Handbookon the Forms & Documents page for more details. File is in portable document format (PDF). Our doctors and staff make decisions about your care based on need and benefits. 101 S. River Street Provider | Blue Cross and Blue Shield of Illinois - BCBSIL
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blue cross community mmai prior authorization