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This form is made available for use by prescribing providers to initiate a prior authorization. Prior authorization requests for our blue cross medicare advantage (ppo) sm (ma ppo), blue. Use these lists to identify the member services that require prior authorization. If you have a medicare plus blue ℠ ppo, bcn advantage ℠ hmo or bcn advantage ℠. If you.
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Prior authorization requests for our blue cross medicare advantage (ppo) sm (ma ppo), blue. Use these lists to identify the member services that require prior authorization. If you have a blue cross blue shield of michigan ppo or blue care network hmo plan, our. Prior authorization requests for our blue cross medicare advantage (ppo) sm (ma ppo), blue.