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Web this document lists the procedure codes for all durable medical equipment, prosthetics, orthotics and medical supplies, which require prior authorization under the northwood. Web use the utilization management authorization request form (pdf) to submit for prior, concurrent or retrospective review authorization requests. Refer to the blue cross musculoskeletal services webpage for more information. Web for facilities in michigan: Referral.
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For medicare plus blue members:. Web this document lists the procedure codes for all durable medical equipment, prosthetics, orthotics and medical supplies, which require prior authorization under the northwood. Web joint and spine procedures authorization request form (pdf) pain management: Web for medications covered under the medical benefit that require authorization, providers are encouraged to submit authorization requests using the blue cross complete.
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