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Web check out the list of blue cross blue shield of michigan forms and documents for member reimbursement, appeals, buying health insurance, and much more. Please submit request(s) to the appeal department at: Instead of using this form to fax or mail the clinical editing appeal, you can submit it electronically through our provider portal. Please use the hospital room rate update form available on the.
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For temporary changes and recommendations for providers,. Here are all the forms you'll need to make changes to your account or change your. Use the appropriate medication authorization request form below to request prior authorization for a medication that's covered under a. As part of the process, you'll have to fill out the above form.
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