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D/b/a highmark blue shield and certain of its affiliated blue companies serve blue shield members in 21 counties. Web how to request prior authorization/notification using navinet is the preferred way to request prior. Please print, type or write legibly in blue or black ink. Web revised 06/03/2015 authorization requirements your insurance coverage may require authorization of certain services, procedures, and/or dmepos prior to.
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Residential treatment center (rtc) must. Highmark blue cross blue shield, highmark choice company, highmark health insurance. Web prior authorization request form highmark health options is an independent licensee of the blue cross blue shield association, an.