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When submitting a provider appeal, please complete the form in its entirety in accordance with the instructions contained in florida blue’s manual for. Physicians and providers may request reconsideration of how a claim processed, paid or denied. To ensure value from your plan benefits it is important that your physician obtains prior authorization for your medical services. These requests are referred to as appeals.
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Forms for florida blue members enrolled in individual, family and employer plans. The most commonly used physician and provider forms are.