This means that your healthcare provider will need to submit additional information to BCBS to demonstrate the medical necessity of the medication Appeals process: If BCBS initially denies coverage for Zepbound, you have the right to appeal their decision. The appeals process allows you to present...
Mandatory Documentation MAD-046 ¾ DO fill out all information on the left hand side of the form, including provider numbers and procedure codes. ¾ DO NOT write on the right hand side of the form. Mandatory Documentation Individual Service Plan (ISP) ¾ All requested services ...