http://content.highmarkprc.com/Files/Region/hwvbcbs/Forms/outpt-adm-request-form-wv.pdf

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WebHighmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. Highmark … WebMedical Specialty Drug Authorization Request Form . Please print, type or write legibly in blue or black ink. Once completed, please fax this form to the designated fax number for medical injectables at 833-581-1861. Authorization requests may alternatively be submitted via phone by calling 1-800-452-8507 (option 3, option 2). consumer bank cd

Prior Authorization Code Lookup

WebHighmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of … WebFax the completed form and all clinical documentation to 1 -866 240 8123 Or mail the form to: Clinical Services, 120 Fifth Avenue, MC PAPHM-043B, Pittsburgh, PA 15222 Highmark Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association WebHighmark requires authorization of certain services, procedures, and/or Durable Medical Equipment, Prosthetics, Orthotics, & Supplies ( DMEPOS) prior to performing the … edwardian era working class