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Uploaded Documents

Document Name Document Description Uploaded File Default Name Uploaded Date Uploaded By
BCBSM 5-Day Rule Notice BCBSM 5-Day Rule Notice BCBSM 5-Day Rule Notice.pdf 9/30/2021 3:24:24 PM Jenn Mudge
JBM Assignment of Benefits (AOB) and Welcome Packet JBM Assignment of Benefits (AOB) and Welcome Packet JBM Assignment of Benefits (AOB) and Welcome Packet.pdf 9/30/2021 3:25:09 PM Jenn Mudge
FAQ - Assignment of Benefits (AOB) FAQ - Assignment of Benefits (AOB) JBM Assignment of Benefits (AOB) FAQ.pdf 9/30/2021 3:25:47 PM Jenn Mudge
Contact List - BCN, BCNA, BCBSM MAPPO (Troy) Contacts Contact List - BCN, BCNA, BCBSM MAPPO (Troy) Contacts JBM BCN, BCNA, BCBSM MAPPO (Troy) Contact List.pdf 9/30/2021 3:27:41 PM Jenn Mudge
FAQ - Nurse Review FAQ - Nurse Review JBM Diabetes Nurse Review FAQ.pdf 9/30/2021 3:28:11 PM Jenn Mudge
JBM Diabetes Prescription (Rx) Form JBM Diabetes Prescription (Rx) Form JBM Diabetes Prescription Form.pdf 9/30/2021 3:28:52 PM Jenn Mudge
FAQ - Product Assessment FAQ - Product Assessment JBM Diabetes Product Assessment FAQ.pdf 9/30/2021 3:29:21 PM Jenn Mudge
Contact List - Diabetes Team (Non-BCN,BCNA,BCBSM MAPPO) Contacts Contact List - Diabetes Team (Non-BCN,BCNA,BCBSM MAPPO) Contacts JBM Diabetes Team Contact List 8-31-2021.pdf 9/30/2021 3:30:12 PM Jenn Mudge
JBM Intake Form JBM Intake Form JBM Intake.pdf 9/30/2021 3:30:34 PM Jenn Mudge
FAQ - Order Confirmations FAQ - Order Confirmations JBM Order Confirmation FAQ.pdf 9/30/2021 3:31:04 PM Jenn Mudge
JBM Prescriber Off-Label Form JBM Prescriber Off-Label Form JBM Prescriber Off-Label Form.pdf 9/30/2021 3:31:34 PM Jenn Mudge
JBM Prescriber Signature Log JBM Prescriber Signature Log JBM Prescriber Signature Log.pdf 9/30/2021 3:32:00 PM Jenn Mudge
JBM Diabetes Referrals Order Flow JBM Diabetes Referrals Order Flow JBM Pump and CGM Order Flow.pdf 9/30/2021 3:32:29 PM Jenn Mudge
JBM Referral Checklist JBM Referral Checklist JBM Referral Checklist.pdf 9/30/2021 3:32:50 PM Jenn Mudge
Test Test J&B MEDICAL TESTING FORM.docx.pdf 7/16/2022 2:28:40 PM Steven Weiss
TEST Document 4-1 TEST Document 4-1 JBM Policy Template.docx 7/16/2022 3:28:25 PM Jenn Mudge