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Blue Cross Blue Shield Predetermination Form. 1) submit a claim for payment or request payment on a claim; Web complete the predetermination request form and fax to bcbstx using the appropriate fax number listed on the form or mail to p.o.
Web complete the predetermination request form and fax to bcbstx using the appropriate fax number listed on the form or mail to p.o. Web do not use this form to: 1) submit a claim for payment or request payment on a claim;
Web complete the predetermination request form and fax to bcbstx using the appropriate fax number listed on the form or mail to p.o. 1) submit a claim for payment or request payment on a claim; Web do not use this form to: Web complete the predetermination request form and fax to bcbstx using the appropriate fax number listed on the form or mail to p.o.
