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Web predetermination of benefit requests may be submitted via availity, or by fax or mail using the appropriate form in the forms section. Use the availity® attachments tool and other helpful resources. We are also the largest provider of health benefits in illinois,. Web if you’ve decided you’d like to obtain recommended clinical review (predetermination),.
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Web you must submit the predetermination to the blue cross and blue shield plan that issues or administers the patient’s health benefit plan which may not be the state where you are. Web a predetermination of benefits is a voluntary request for written verification of benefits prior to rendering services. Web a predetermination is a voluntary, written request by a provider to determine if a proposed treatment or service is covered under a patient’s health benefit plan. Complete the required data elements.
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