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Changes Coming to the BCBSOK Predetermination Request Form

July 2, 2018

Changes to the Member Data and Documentation sections of the BCBSOK Predetermination Request Form – Medical and Surgical are coming in October 2018. These changes will capture important information that is now collected by phone. The new form includes fields for drug names and dosing information. In addition, the procedural code fields have been modified to capture units. To download the form, go to bcbsok.com/provider/forms.