We want you to be happy with your health plan. If you do not understand a benefit decision made by Blue Cross and Blue Shield of Oklahoma or BlueLincs HMOSM, first call the customer service phone number listed on your member ID card.
In most cases, a customer service representative will be able to provide you with a satisfactory solution to your problem. However, if a resolution cannot be reached in an informal exchange, you may request an administrative review of the problem through our appeal process.
You have the right to seek and obtain a full and fair review of any determination of a claim, any determination of a request for preauthorization/precertification, or any other determination made by us in accordance with your benefits and procedures explained in your benefit booklet.
Call the customer service phone number on your member ID card for more information.