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蓝十字数控供应商

• Fax form for Applied Behavioral Analysis/Adaptive Behavioral Treatment for Autism Spectrum Disorder (ABA/ABT) ​
  PLEASE NOTE: Prior authorization is only required for Federal Employee Program members

• 将用户或供应商添加到你的蓝色 e account
  blue e 帐户维护

• 加入蓝色阵营 e 
  blue e 交互式网络协议

• Streamline claims processing by having member's complete
  利益协调问卷 ​

• 申请的认证
  的认证

• Complete this form for demographic changes to your practice
  人口统计信息 ​

• 注册电子资金转账
  eft sign-up ​

• 协议、表格及指示
  电子解决方案

• Join our email registry for the latest news from 蓝十字数控
  电子邮件注册中心注册

• This is the form that a provider should complete and submit to 蓝十字数控 if he or she wishes to file for the Enrollment Pending Claims Exception process.
  Enrollment Pending Claims Filing Exception Form ​

• 记录您的电子访问以报销费用.
  E-Visit认证 ​

• Notify 蓝十字数控 of a change in your secured electronic channel vendor.
  E-Visit供应商改变 ​

• This document provides instructions on how to fill out the Enrollment Pending Claims Filing Exception form and general information and answers to frequently asked questions on the process.
  FAQ for Enrollment Pending Claims Filing Process ​

• Complete this form to begin the provider appeal process.
  我上诉 ​

• Form for Behavioral Health regarding Psych Testing
  医疗保险后勤精神测试表 

• Use this form to begin the appeals process for medicare providers.
  医疗保险一级上诉 ​

• Authorization form for appeals on the member's behalf
  Member Appeal Representation Authorization Form ​

• New prescription fax order form for PrimeMail
  Prime Therapeutics - Pharmacy Fax Order Form ​

• Form to record your notes from ambulance trips.
  邮寄服务-救护车行程表表格 ​

• Form to inform 蓝十字数控 of the type of Allergy testing that was performed.
  Post Service - Dermatology Patch Allergy Testing Form ​

• Form to identify the clinical justification for extra dialysis sessions.
  Post Service - Hemodialysis Treatment for ESRD Form ​

• Sign-up to receive medical record request forms and return medical records to 蓝十字数控.
  Post Service Medical Records Fax Sign-up Form ​

• Form to attest that IONM services were administered per 蓝十字数控 policy.
  Post Service - Intraoperative Neurophysiologic Monitoring Form ​

• Form to identify the clinical justification for Intraoperative Neurophysiologic Monitoring.
  后服务-神经纤维形态 ​

• 以书面形式提交索赔问题.
  供应商/医生声称调查 ​

• Include this form when returning overpayments to 蓝十字数控.Streamline claims processing by having member's complete
  提供商退款申报表 ​

• Access patient assessment and patient educational materials.
  提供者工具包 ​