I received an authorization from my pcp to See an Out-of-network mental health therapist but the claim was denied due to the ICD code F32.0 which is considered a severe mental illness. But I didn’t think it mattered as long as my pcp okayed it. BCBS says there is no authorization on file. When I called BCBS They checked with the MG, who told them they contacted my PCP but canceled the request because she didn’t respond. I don’t understand because all I was told to do is get permission from my PCP. She says the information is on my medical record and wasn’t aware of a canceled request. It’s confusing because I followed the process but my claim was rejected. I need help to get the claim paid.
In reply to BCBSIL Connect Team:
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