WebBCBSAZ Health Choice requires all non-contracted dentists to obtain a Prior Authorization before rendering treatment. Please complete the Dental Specialty Referral Request Form … Webi health choice arizona prior authorization grid i effective 1/20/20. revised 12/15/19 1 i health choice arizona prior authorization grid helpful contacts health choice arizona phone: 1-800-322-8670 medical services fax: 1-877-422-8120 pharmacy services fax: …

Prior Authorization - BCBSAZ Health Choice

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HEALTH CHOICE ARIZONA PRIOR AUTHORIZATION GRID

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