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Blue Cross Blue Shield of Massachusetts fax number

(888) 376-0679

Behavioral Health - Intensive outpatient / partial hospitalization (IOP/PHP) authorization

Used for: Intensive outpatient / partial hospitalization (IOP/PHP) behavioral health authorization requests

Fax destination details

Department
Behavioral Health - Intensive outpatient / partial hospitalization (IOP/PHP) authorization
Purpose
Intensive outpatient / partial hospitalization (IOP/PHP) behavioral health authorization requests
Form
Authorization form — Continuing treatment (PHP/IOP) Authorization Form
Address
101 Huntington Avenue, Suite 1300, Boston, MA 02199-7611
Voice phone
617-246-5000

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Fax the completed form with supporting clinical documents to 1-888-376-0679.

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