What are some of the reasons BCBS might not reimburse my medical provider for a claim I submitted?
Other insurance may be responsible for paying the claim; the services may not be covered according to the exclusions listed in your Plan Document available online at www.universityheathplans.com; the claim may not have occurred while you were covered; or the charges may be greater than what is Reasonable and Customary. A letter or explanation of benefits from BCBS will accompany any denial of claim.
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