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Key Medical Group Authorization Request Form

 Provider Information

 Authorization Request Form

Key Medical HMO Providers

 Specialist

 Primary Care Physicians

 California Participating Physicians Application

 Key - Acknowledgement of Financial Responsibility Form

 Mosaic - Acknowledgement of Financial Responsibility Form

Blue Shield Member Service Number

800-424-6521 (General Customer Service Questions)

800-798-3053 or 1-877-263-8827 (United Behavioral Health)

Blue Shield Member Web Site

http://www.mylifepath.com/