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2021 SUBSTANTIATION NOTICES

OGB Request for More Information

OGB Denial With Request for Repayment

OGB First Receipt Reminder

OGB Second Receipt Reminder

OGB Overdue Notice

2019 SUBSTANTIATION NOTICES

OGB Request for More Information

OGB Denial With Request for Repayment

OGB First Receipt Reminder

OGB Second Receipt Reminder

OGB Overdue Notice

2018 SUBSTANTIATION NOTICES

Day 1 – Request for Substantiation Documentation

Day 30 – Request for Substantiation Documentation – 30 Day Reminder

Day 62 – Request for Substantiation Documentation – 62 Day Reminder

Day 120 – Notification of Denied Claim

Office of Group Benefits     ⋯    1201 N. 3rd St, Suite G-159, Baton Rouge, LA 70802     ⋯     1-800-272-8451
        P.O. Box 44036, Baton Rouge, LA 70804

If you feel your Pharmacy Benefits Manager (PBM) has “steered” you to use a specific pharmacy over your chosen pharmacy, call the Office of Group Benefits (OGB) at 1-800-272-8451 to report the issue.

Legal Statement