Our Customer Service, Appeals Process Can Help

Our Customer Service, Appeals Process Can Help

We want you to be happy with your health plan. If you don’t understand a benefit decision made by Blue Cross and Blue Shield of Oklahoma or BlueLincs HMOSM, first call customer service.

In most cases, a customer service representative will be able to help you with your problem. But if they can’t resolve your issue, you may request an administrative review of the problem through our appeals process.

You have the right to a full and fair review of:

  • Denied claims
  • Denied requests for preauthorization or precertification
  • Any other determination made by us according to the benefits and procedures explained in your benefit booklet

Call the customer service number on your member ID card for more information.

 

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