Sleep Apnea device pre-determination
Tuesday, September 18, 2018
Insurance Basics, How to make a claim
Sleep Apnea Device Pre-Determination
To determine eligibility for sleep apnea devices, members
must complete a pre-determination form to assess eligibility. This Pre-Determination
will ensure the right member receives the right device, at the right time.
To ensure that we have the right medical documentation for you on file,
Pacific Blue Cross will need every member requesting a sleep apnea device to complete the
pre-determination process starting October 15, 2018.
How do I submit a Pre-Determination Application
- Download the Pre-Determination form.
- Complete the form and attach the requested documentation.
- Fax the completed form to the fax number indicated at the top of the relevant form.
We will review the form and make a decision within 5 business days in most cases.
You will then be informed of our decision. You can also view approvals in your Member Profile.
Frequently Asked Questions