Changes Coming to the Blue Cross and Blue Shield of Montana Commercial Predetermination Request Form

Jul. 19, 2018

Changes to the Member Data and Documentation sections of the Blue Cross and Blue Shield of Montana (BCBSMT) Predetermination Request Form – Medical and Surgical are coming in July 2018. These changes will capture important information that is now collected by phone. The new form includes fields for drug names and dosing information. In addition, the procedural code fields have been modified to capture units. To download the form, go to www.bcbsmt.com/provider forms and documents page.