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.
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association© Copyright 2019 Health Care Service Corporation. All Rights Reserved.
Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Illinois.
File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com.