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Utilization Management and Case Management Programs
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Important Links
Mississippi Prior Authorization Requirements
Mississippi UM Fax Request Form
Appeal Request Form Link
Training Evaluation Survey
Kepro Prior Authorization Provider Portal: portal.kepro.com
Member Benefit Plan Documents: knowyourbenefits.dfa.ms.gov/publications/
Network Providers: knowyourbenefits.dfa.ms.gov/provider-search/
Mississippi DFA Office of Insurance: knowyourbenefits.dfa.ms.gov/
Provider Claims Information: www.bcbsms.com/im-a-provider/
General Inquiries
1-601-932-3704
Blue Cross & Blue Shield of Mississippi
3545 Lakeland Drive
Flowood, MS 39232-9799
Mental Health/Substance Use Disorder Precertification
1-800-841-9659 Ext. 4009
Care Management Programs
Asthma
Chronic
Obstructive Pulmonary Disease
Congestive Heart Failure
Coronary Artery Disease
Diabetes
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I authorize the release of any medical information necessary to process this claim. Subscriber s Signature BCBS 1090-PC 12/02 Date WHEN SHOULD YOU USE THIS FORM This form is designed to help you our Subscriber file itemized medical bills for you or an enrolled family member.
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