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Please allow 30 days for medical record reviews. Web medical record routing form medical record routing form complete this form online and print. Web blue care blue shield of michigan providers, learn more about medical record retrieval and review, along with medical chart reimbursement. Insured’s or authori zed person’s signature ; Ppo provider preauthorization and precertification requirements (pdf) download.
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Web a signature in this field authorizes the release of medical records. Insured’s or authori zed person’s signature ; Please allow 30 days for medical record reviews. Click claims in the blue bar at the top of the page.
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Web talk to a health plan consultant: Web request to amend protected health information (pdf) i want to restrict use of my protected health information. If you're a blue care. Log in to your account at bcbsm.com.
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