blue cross community mmai prior authorization

%PDF-1.6 % What is the longest historic site trail in Wetter? The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment. This link will take you to a new site not affiliated with BCBSIL. Contact Us | Blue Cross and Blue Shield of Illinois Contact Us AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent third party vendor that is solely responsible for its products and services. All Rights Reserved. This step will help you confirm prior authorization requirements and utilization management vendor information, if applicable. k+:6@1)^]WNQj sGG& hFa`@,%LFPBA7Xmxt$.=e0ne}#IoE 20iF 6Xg8Sf;+-P > If a request does not meet medical necessity criteria for approval, the request will be assigned to a BCBSIL medical director for determination. Your doctor should know which services need approval and can help with the details. To view this file, you may need to install a PDF reader program. All Rights Reserved. Aurora, IL 60506. Failing to provide clinical information or timely notification of prior authorization requests may affect the outcome of a Service Authorization Dispute. 373 0 obj <> endobj Recently, we added a digital lookup tool that gives you a different way to view prior authorization requirements that may apply to our BCCHP and MMAI members. FIND YOUR WAY OUTSIDE is a trademark of AllTrails, LLC. Medicaid Prior Authorization Request Form, Provider Service Authorization Dispute Resolution Request Form. This is the third stage of the varied WestfalenWanderWeg, which leads 216 km from Hattingen through the southern Ruhr area, the Paderborn region and the foothills of the Sauerland to Altenbeken in the Teutoburg Forest / Eggegebirge nature park. If we do not receive adequate clinical documentation, BCBSIL will reach out to your facility UM department and provide a date and time in which clinical documentation is required to be received. These tools used by PCPs (or specialists) include medical codes. The health of your eyes and teeth can affect your overall health. Clinical Review Criteria Utilization management reviews use evidence-based clinical standards of care to help determine whether a benefit may be covered under the members health plan. Check out our Corporate Social Responsibility Reportto learn the ways we're serving our community. To protect your health and keep you safe, make sure your doctor and pharmacist know what medicines you are taking, including OTC drugs. Medical policies are also used to guide care decisions. However, you can order these items once every three months. Our trusted community experts can give you the one-on-one help you need to shop for health insurance. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. Your plan does not encourage doctors to give less care than you need. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Regardless of any prior authorization or benefit determination, the final decision regarding any treatment or service is between the patient and their health care provider. Procedure code lists are provided for reference purposes. Out of area dialysis services. hbbd```b``6O L %,"&*u`0;L:`5 ; In addition, some sites may require you to agree to their terms of use and privacy policy. If your doctor wants you to have a drug that is not on the list, he or she can request approval for that drug. Our doctors and staff make decisions about your care based on need and benefits. For some services/members, prior authorization may be required through BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors. Access Your Payment Options. The BCBSIL Provider Manuals are comprehensive guides for Blue Cross Community Health Plans SM, Blue Cross Community MMAI (Medicare-Medicaid Plan) SM, Blue Cross Medicare Advantage (HMO) SM, Blue Cross Medicare Advantage (PPO) SM, Blue Choice PPO SM, HMO, PPO and Blue High Performance Network (Blue HPN ) EPO professional and facility providers. Additional clinical information will not be reviewed by the utilization management team if the initial determination was an adverse determination due to failure to submit clinical information with the original request. 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). 2 0 obj Checking eligibility and benefits through Availity Essential or your preferred web vendor is always the best place to start, before you provide care and services to any of our members. Grievance (Complaint) Appeals The most popular and difficult historic site trail in Wetter is Von Wetter zum Nacken with a 3.6-star rating from 2 reviews. One option is Adobe Reader which has a built-in screen reader. Stage 3 of the long-distance hiking trail WestfalenWanderWeg, North Rhine-Westphalia. References to other third party sources or organizations are not a representation, warranty or endorsement of such organizations. For Medicaid (BCCHP and MMAI) members, prior authorization requirements are found in the last column of the BCCHP drug list and MMAI drug list. For some services/members, prior authorization may be required through BCBSIL. endobj How do I know if I need a prior authorization? Some benefit plans administered by BCBSIL, such as some self-funded employer plans or governmental plans, may not utilize BCBSIL Medical Policies. hbbd```b``nF`+d'lO0{d&WEV"8EVU9`"DaDa@6`4r lf|pwOIF@W; v#30^0 !X endstream endobj startxref 0 %%EOF 107 0 obj <>stream 0 Santori Library For some drugs, the plan limits the amount that will be covered. From the train station through the underpass, it goes straight across the street to the Ruhr cycle path. Stay informed about BCBSIL programs, products, initiatives, and more. These include prior authorization code lists with effective dates and related information for Blue Cross Community Health Plans SM (BCCHP SM) and Blue Cross Community MMAI (Medicare-Medicaid Plan) SM members. Blue Cross and Blue Shield of Illinois (BCBSIL) would like to outline some important updates, tips and reminders on prior authorization processes for independently contracted providers treating our Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM members. The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association A provider may initiate a peer-to-peer discussion by calling 800-981-2795. If you do not use the $30, it does not roll over into the next three months. @SssUJ- =`~4*>_faS A$wa8|9NN4 d>!XHDhf\~%r'7m|oHF~D#R X(b(uQu (pd)8MA/> ?&ME.@.$O4>!Mwiw%c:IlAc:4U&SUDaE:?{Or-RaX%,(( Please see Drug Information for more information. In addition, some sites may require you to agree to their terms of use and privacy policy. Highlights: Our guest speaker is Sara Gray, Executive Director of National Alliance on Mental Illness, Kane-south, DeKalb and Kendall Counties. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. The table below contains some of the services covered under your plan. Payment of benefits is subject to several factors, including, but not limited to, eligibility at the time of service, payment of premiums/contributions, amounts allowable for services, supporting medical documentation, and other terms, conditions, limitations, and exclusions set forth in the members policy certificate and/or benefits booklet and or summary plan description. How Does Blue Cross Community MMAI (Medicare-Medicaid Plan)SM Make Decisions for Prior Authorizations? BCBSIL adheres to the standards for addressing all urgent concurrent requests, meeting or exceeding National Committee for Quality Assurance (NCQA) standards. File is in portable document format (PDF). stream To view this file, you may need to install a PDF reader program. Prior Authorization Doctors and Hospitals When choosing a doctor, make sure the doctor is part of the Blue Cross Community MMAI (Medicare-Medicaid Plan) SM network. Availity is a trademark of Availity, LLC., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. There are some exceptions when care you receive from an out-of-network provider will be covered. The tool returns a list of services that may require prior authorization through BCBSIL or eviCore healthcare (eviCore) for BCCHP and MMAI members. Davis Vision is an independent company that has contracted with BCBSIL to provide vision benefits administration for government programs members with coverage through BCBSIL. %%EOF April 24, 2023. eviCore healthcare (eviCore) is an independent company that has contracted with Blue Cross and Blue Shield of Illinois to provide prior authorization for expanded outpatient and specialty utilization management for members with coverage through BCBSIL. <>/Metadata 528 0 R/ViewerPreferences 529 0 R>> See below for details, including the Zoom registration link. The BCBSIL Medical Policies are for informational purposes only and are not a substitute for the independent medical judgment of health care providers. Our doctors and staff make decisions about your care based only on need and benefits. For other services/members, BCBSIL has contracted with eviCore healthcare (eviCore) for utilization management and related services. endstream endobj startxref Step-by-Step Guide for Provider Finder. endobj At every meeting, we share updates for MMAI and BCCHP providers, such as new programs and resources to share with your patients. Copyright 2021 Health Care Service Corporation. Refer to our Medicaid prior authorization summary for more details. We know you like to plan ahead. 415 0 obj <>stream BCBSIL makes no endorsement, representations or warranties regarding third-party vendors. Availity provides administrative services to BCBSIL. Information on Service Authorization Disputes can be found on the Provider Service Authorization Dispute Resolution Request Form. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. If you have any questions, call the number on the member's BCBSIL ID card. In most cases, you must receive your care from a Blue Cross Community MMAI (Medicare-Medicaid Plan) SM in-network plan provider. Medicaid Prior Authorization Request Form Please fax completed form to 312-233-4060 This information applies to Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM members. The Drug List (sometimes called a formulary) is a list showing the drugs that can be covered by the plan. Blue Cross Community MMAI (Medicare-Medicaid Plan) SM Always check eligibility and benefits first through Availity or your preferred web vendor portal to confirm coverage and other important details, including prior authorization requirements and vendors, if applicable. The code lists are posted as PDFs so you can scroll through pages manually or enter <CTRL F> to search, highlight and advance to all . Checking eligibility and/or benefit information and/or the fact that a service has been prior authorized is not a guarantee of payment. (Accessible to providers through the BCBSIL-branded Payer Spaces section in, 2022 MA PPO and MA HMO Non-Delegated Prior Authorization Requirements Summary, 2022 MA PPO and MA HMO Non-Delegated Prior Authorization Code List, 2022 Medicaid Prior Authorization Requirements Summary, 2022 Medicaid Prior Authorization Code List, American Society of Addiction Medicine (ASAM), Illinois Department of Human Services/Division of Mental Health, Illinois Department of Health and Family Services Medicaid Provider Handbooks, Utilization Management Process Overview (Gov Programs), Blue Cross Medicare Advantage HMO Non-Delegated Model, Blue Cross Community MMAI (Medicare-Medicaid Plan). hb```) ea&pd:Se At Blue Cross Community MMAI (Medicare-Medicaid Plan) SM, we take great pride in ensuring that you receive the care you need. If you have a complaint about how we handle any services provided to you, you can file a grievance or an appeal. If you want to know more about the utilization management process or how decisions are made about your care, Contact Us. GDChv0O{Q~ $W0!&~(c~;=1^!GD=q2z5OR%AG.)H&lz'9|^f!(@.ib Blue Cross Community MMAI (Medicare-Medicaid Plan)SM includes: Medical benefits such as coverage for preventive care services, emergency and urgent care coverage, diagnostic tests and more Behavioral Health benefits Prescription coverage Transportation Services to help you get to and from your appointments Dental care, eye care, and more Prior Authorization Support Materials (Government Programs). Home and Community-Based Services & Waivers, Grievances, Appeals and Coverage Decisions, Language Assistance and Non-Discrimination Notice, Have a prescription from your doctor for them, Fill the prescription at a network pharmacy. This step also helps you identify prior authorization requirements and utilization management vendors, if applicable. For BCCHP and MMAI: Peer-to-peer discussions are allowed for requests where clinical information was submitted with the original request. 2. 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. To ask for instructions on how to appeal, call the Member Services line for the MMAI plan or call the Senior HelpLine and ask for the MMAI Ombudsman at 1-800-252-8966 (TTY users should call 1-888-206-1327) Monday-Friday 8:30 am-5pm. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. Always check eligibility and benefits through Availity or your preferred web vendor before rendering services. 4 0 obj These include prior authorization code lists with effective dates and related information for Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM members. Register Now. Blue Cross Community MMAI (Medicare-Medicaid Plan) SM The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with other Managed Care Organizations (MCO) to implement MMAI. Log In to the Shopping Cart, Need to Make a Payment? Your doctor will need to request approval before these drugs can be prescribed. Most PDF readers are a free download. This new site may be offered by a vendor or an independent third party. Renew Illinois Individual, Family & Medicaid Health Insurance, Blue Cross Community MMAI (Medicare-Medicaid Plan), Illinois Health Plan Tiered Prescription Drug Lists, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage. Provider Finder. One option is Adobe Reader which has a built-in reader. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. File is in portable document format (PDF). Which historic site trail has the most elevation gain in Wetter? Registration is required. We'd like to invite you to join us for our next committee meeting on May 18, 2023. Search articles and watch videos; ask questions and get answers. The next highest ascent for historic site trails is. Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. endstream endobj 374 0 obj <. Use the links below to view BCBSIL and vendor guidelines that may apply. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com <> Pharmacy Benefit Prior Authorization Requirements Prime Therapeutics, our pharmacy benefit manager, conducts all reviews of prior authorization requests from physicians for BCBSIL members with prescription drug coverage. Benefits will be determined once a claim is received and will be based upon, among other things, the members eligibility and the terms of the members certificate of coverage applicable on the date services were rendered. But we know its nice to have other ways to view prior authorization information, too. The site may also contain non-Medicare related information. One option is Adobe Reader which has a built-in screen reader. What: Q2 2023 MMAI and BCCHP Community Stakeholder Committee Meeting Most PDF readers are a free download. Its important to check eligibility and benefits first for each patient at every visit to confirm coverage details. All Rights Reserved. For some services/members, prior authorization may be required through BCBSIL. Blue Cross Community Health Plans and Blue Cross Community MMAI plans are provided by Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association. Related Resources You can: Pay a bill online or sign up for auto bill pay. Your feedback is vital to improving the care and services these members receive. Search for doctors, dentists, hospitals and other health care providers. The plan will pay up to $30 (plus $5 for shipping) for each order. Search your plan's drug list, find a pharmacy, and more. For other services/members, BCBSIL has contracted witheviCore healthcare (eviCore)for utilization management and related services. Certain drugs on the list need prior authorization. Join us as we build the next generation of health insurance. To view this file, you may need to install a PDF reader program. It also includes the drugs covered by Medicare Part D. As a member, you have no copay for covered items on the Drug List. R'sYI D@ zmG@5msm!T%FN3_z. Most PDF readers are a free download. Medical Benefits Blue Cross Community MMAI (Medicare-Medicaid Plan) SM covers many of your health care needs. Blue Cross Community MMAI has strict rules about how decisions are made about your care. End along the Ruhr meadows over Lake Kemader to Lake Baldeney in Essen. While not included in the digital lookup tool, some services always require prior authorization, such as inpatient facility admissions. File is in portable document format (PDF). Luckily, your health insurance can change with you. External link You are leaving this website/app (site). You also can call the MMAI plan's pharmacy help-line. The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Our doctors and staff make decisions about your care based on need and benefits. ALLTRAILS and the AllTrails Mountain Design are registered trademarks of AllTrails, LLC in the United States as well as certain other jurisdictions. The site may also contain non-Medicare related information. Whens the meeting for the next quarter? It is the responsibility of the requesting provider to submit clinical documentation to substantiate a request for services at the time of the service authorization request. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. You are leaving this website/app ("site"). They use what is called clinical criteria to make sure you get the health care you need. Sara will be discussing Mental Health Awareness Month and cultural competency. eviCore healthcare (eviCore) is an independent company that has contracted with BCBSIL to provide prior authorization for expanded outpatient and specialty utilization management for members with coverage through BCBSIL. Blue Cross Community MMAI (Medicare-Medicaid Plan)SM includes coverage for selected prescription and over-the-counter (OTC) drugs, and selected medical supplies. The peer-to-peer discussion is available as a courtesy to providers. For more information, refer to the 2021 Medicaid Prior Authorization Requirements Summary and 2021 Medicaid Prior Authorization Code List available in the Medicaid section on the Support Materials (Government Programs) page. You are leaving this website/app (site). Limitations of Covered Benefits by Member Contract R{O *L%U}r?:B22Rj=]p ($c j `-g [W}]blE&rT}TmPi]`8*I/,%,((56eA lLlkFy_&df4]`)`m9lrSQHp*:Y0T"NEAu:",@vR8za7nn7I,Iz-rSroq@T#}MW *7I :=C;hEQQq_1d"A B M$ }u$z You may be familiar with some of the Medicaid prior authorization resources on our Provider website. The digital lookup tool is intended for reference purposes only. Blue Cross Community MMAI (Medicare-Medicaid Plan) SM includes coverage for selected prescription and over-the-counter (OTC) drugs, and selected medical supplies. Returning Shopper? What is the most popular and difficult historic site trail in Wetter? This new site may be offered by a vendor or an independent third party. Your PCP will handle the prior authorization process. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Qf#yQ>u(KpRE{UIQp[)5T:p:jBFp*WWhwIA36YwNG)!G/!Yr6v7e|12 rUp3?R1H-6Kre vh) yj?O&y]\x,$aU7Mm'a 5a1owahiT@IC+ New to Blue Access for Members? This trail is estimated to be 42.6 km long. Doctors are not paid to deny care. Topics include everything from improving your well-being to explaining health coverage. Members should contact the vendor(s) directly with questions about the products or services offered by third parties. Home BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors. Most PDF readers are a free download. Availity provides administrative services to BCBSIL. Request a new replacement member ID card, or download a temporary copy. Where: Hybrid, Join us in person: Whats on the agenda? How to request prior authorization: Prior authorization requests may be made by phone (call 877-860-2837 for BCCHP members, call 877-723-7702 for MMAI members) or by fax to 312-233-4060 (same fax number for BCCHP and MMAI). Out-of-Network Coverage. Your PCP will handle the prior authorization process. It will open in a new window. Clear and timely submission of prior authorization requests and clinical documentation is very important to process requests within the required timeframes. Wed like to invite you to join us for our next committee meeting on May 18, 2023. One Its a great chance to work with faith leaders, advocacy groups and other community-based organizations that support our members health and well-being. Some services need approval from your health plan before you get treated. Wetter: With an ascent of 703 m, WestfalenWanderWeg Etappe 3: Wetter - Schwerte has the most elevation gain of all of the historic site trails in the area. One option is Adobe Reader which has a built-in reader. When faxing prior authorization requests, you must use the Medicaid Prior Authorization Request Form. Regardless of any prior authorization or benefit determination, the final decision regarding any treatment or service is between the patient and the health care provider. Convey Health Solutions, Inc. is an independent company that provides administrative services for over-the-counter supplemental benefits for Blue Cross and Blue Shield of Illinois. Home and Community-Based Services & Waivers, Grievances, Appeals and Coverage Decisions, Language Assistance and Non-Discrimination Notice. Rather than viewing all codes on a running list in a static document, you can use our interactive digital lookup tool to perform a faster, more targeted search. 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 How Does Blue Cross Community MMAI (Medicare-Medicaid Plan)SMMake Decisions for Prior Authorizations? This new site may be offered by a vendor or an independent third party. Why participate? Click here to see prior authorization tools, clinical review criteria and MMAI Medical Policies used by your doctor to make a decision. Once additional meetings are confirmed, well alert you via the News and Updates. Members should contact the customer service number on their member ID card for more specific coverage information. #5 - RuhrtalRadweg Etappe 4: Wetter (Ruhr) - Essen, #6 - WestfalenWanderWeg Etappe 3: Wetter - Schwerte. Life changes happen at any time. According to AllTrails.com, the longest historic site trail in Wetter is RuhrtalRadweg Etappe 4: Wetter (Ruhr) - Essen. This list includes generic and brand drugs and medical supplies. Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. Providers are instructed to exercise their own clinical judgment based on each individual patients health care needs. You are leaving this website/app ("site"). These requests must be decided within 48 hours for BCCHP members, and 72 hours for MMAI members. Want to be part of our amazing team? 396 0 obj <>/Filter/FlateDecode/ID[<0A7FBF13C253BF478050EB5B54DA8A47><3D37E1700F053247902B206B607ACED5>]/Index[373 43]/Info 372 0 R/Length 112/Prev 171011/Root 374 0 R/Size 416/Type/XRef/W[1 3 1]>>stream Please note that, effective May 1, 2021, there will be a change to the BCCHP peer-to-peer discussion process, as specified below. In addition, some sites may require you to agree to their terms of use and privacy policy. February 1, 2021 Blue Cross and Blue Shield of Illinois (BCBSIL) would like to outline important updates, tips and reminders on prior authorization processes for independently contracted providers treating our Blue Cross Community Health Plans SM (BCCHP SM) and Blue Cross Community MMAI (Medicare-Medicaid Plan) SM members. x=r8?Qi xJI&JfIl3D:#SfAw $nb"n q~+|Vz?p~Q{vrle{{_F^gEx6,>/?e=kOws/nTgO~S>)ga0)D>Mx,lN}=v,QPD>j" The site may also contain non-Medicare related information. According to AllTrails.com, the longest historic site trail in Wetter is. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Updated February 2021 1 Medicaid Prior Authorization Requirements Summary, Effective Jan. 1, 2021 (Updated February 2021) This information applies to Blue Cross Community MMAI (Medicare-Medicaid)SM and Blue Cross Community Health PlansSM (BCCHPSM) members. To access the BCCHP and MMAI digital lookup tool, refer to the Prior Authorization Support Materials (Government Programs) page in our Utilization Management section. endobj 6C("=L,`YF'0 d Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. option is Adobe Reader which has a built-in reader. External link You are leaving this website/app (site). Your Summary of Benefits has information about which services require prior authorization. %PDF-1.7 To see if you are eligible, Contact:Blue Cross and Blue Shield of Illinois' OTC vendor,Convey Health Solutions, at: 1-855-891-5274. Prior authorization requests for administrative days (ADs) may not be submitted online at this time. If an appeal has been filed, the peer-to-peer discussion is no longer available. Personal health-related items (such as a toothbrush and toothpaste) are not included on this list. hb``0b`0 36 fah@t#(f`XU1U B)xPB2@+4s\ X:EolHd]1ofxF/120i7@ZN 4`SBa@3P]8D5/@ F& endstream endobj 13 0 obj <>]/Pages 10 0 R/Perms/Filter<>/PubSec<>>>/Reference[<>/Type/SigRef>>]/SubFilter/adbe.pkcs7.detached/Type/Sig>>>>/Type/Catalog/ViewerPreferences<>>> endobj 14 0 obj <. Copyright document.write(new Date().getFullYear()); Health Care Service Corporation. As of this date, providers may submit a new packet for clinical re-review OR do a peer-to-peer discussion. Non-Discrimination Notice. 3 0 obj {0c8Lp~#g.wS,#.z (c PT+ ~"%V3xCh`q'cgI$i%0!J"Cd"$| wFx&U K>txE |3Z$IJri]d(I,14)ze49E]'o|E1F |o%BIwF=";v=sN&./"G0'89)JuJ.v@FiS_$.xpP*GMG"g'K;KmVGA?7nW/pJ'3P.u'7y*6#E!LbC?hhCp6 4y%CS"R;%j)`y31pc`{%w)/*5hKE7:KRnQ&C+grc-pG`3P8+C~J7X 3o'YBa@sOz0zRlA_>]B]]#@W)o)|CNogbC;, jXw8w;![@0\bBJh1e8M'Z9owf;CYP[Hk`|8 (d/v_59=_O~o=pn[3f5+@tn0M|!ev"]"A!^A cc=zZf` sDH- rst !-`*M68G#gYmw/|O|)- Talk with your doctor about your medication.
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