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A severe tendon tear, fracture, infection, nerve compression, progressive weakness, unexplained swelling, or rapidly worsening pain needs appropriate evaluation

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You can obtain eligibility and benefit information for out-of-area BCBS Medicaid members using the same tools as you would for other out-of-area Blue Plan members: Providers can also request prior authorization for out-of-area Blue Plan Medicaid members using the same tools available for BlueCard: Although BCBS Medicaid claims are processed through the BCBS Inter-Plan system, Medicaid is not officially part of the BlueCard Program since there is no network reciprocity and the locally negotiated rates do not apply to Medicaid claims

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