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Wiki BCBS Illinois

Thread starter brocal1979
Start date Thursday at 2:56 PM

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brocal1979

Contributor

Thursday at 2:56 PM

Does anyone know the rules that changed 1/1/25 for BCBS IL? I live in Missouri & we saw an IL pt. I got a denial back stating "services did not meet the qualifications for emergent/urgent care, the member is responsible for this amount."
Another denial says " charges do not meet qualifications for emergent/urgent care"
When looking into this, I found something stating a waiver has to be requested for facility.

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