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Blue Cross and Blue Shield of Oklahoma (BCBSOK) fax number

(877) 361-7660

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Behavioral Health / Applied Behavioral Analysis (ABA) program

Used for: Submitting ABA service requests for authorization (Initial Assessment Request and Clinical Service Request forms)

Fax destination details

Department
Behavioral Health / Applied Behavioral Analysis (ABA) program
Purpose
Submitting ABA service requests for authorization (Initial Assessment Request and Clinical Service Request forms)
Form
Initial Assessment Request — Applied Behavior Analysis (ABA) Initial Assessment Request
Address
3817 Northwest Expressway, Suite 300, Oklahoma City, OK 73112
Voice phone
800-672-2378

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Submit the Initial Assessment Request form at least two weeks before the requested start date; include Rendering QHP signature; Fax to 877-361-7660.

Review official form instructions

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