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Bcbs Texas Predetermination Form. Web do not use this form to: 1) submit a claim for payment or request payment on a claim;
Web select send attachment (s) fax or mail: Complete the predetermination request form and fax to bcbstx using the appropriate. 1) submit a claim for payment or request payment on a claim; Web do not use this form to: Web complete the predetermination request form and fax to bcbstx using the appropriate fax number listed on the form or mail to p.o.
Web do not use this form to: Complete the predetermination request form and fax to bcbstx using the appropriate. Web do not use this form to: Web select send attachment (s) fax or mail: Web complete the predetermination request form and fax to bcbstx using the appropriate fax number listed on the form or mail to p.o. 1) submit a claim for payment or request payment on a claim;
