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How do I get a Certificate of Medical Necessity?

How Do I Get One? The first step to getting a Certificate of Medical Necessity is visiting your doctor to get a diagnosis. Only a doctor or physician can determine if the supplies you need are medically necessary. Once youve received your diagnosis, its time to contact us and enroll.

What is a proof of medical necessity?

Your doctor or other provider may be asked to provide a Letter of Medical Necessity to your health plan as part of a certification or utilization review process. This process allows the health plan to review requested medical services to determine whether there is coverage for the requested service.

How to get a certificate of coverage from BCBS?

How can I request a Certificate of Coverage? To request a Certificate of Coverage, contact your local Blue Cross and Blue Shield company. The phone number can be found on the back of your member ID card or you can visit the Contact Us section of this website.

What is an example of a Certificate of Medical Necessity?

I am writing on behalf of my patient, [Patient Name], to document the medical necessity to treat their [Diagnosis] with [Product Name]. This letter serves to document my patients medical history and diagnosis and to summarize my treatment rationale. Please refer to the [List any Enclosures] enclosed with this letter.