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Can the physician, professional provider or facility complete an Inpatient Precertification for an HMO Blue Texas member whose PCP is with a delegated IPA or Medical Group?

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Can the physician, professional provider or facility complete an Inpatient Precertification for an HMO Blue Texas member whose PCP is with a delegated IPA or Medical Group?

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iEXCHANGE does NOT allow Referrals or Inpatient Precertifications for HMO Blue Texas members with a PCP participating in an IPA/Medical Group identified by PORG “KELS” or “RNPO”.

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