Claim form for medical services PDF Find other claim forms. You can check the status of your claims online at the Blue Cross member site or BlueCrossMN Mobile app.
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Use machine-printed forms whenever possible and black ink to handwrite information.
Blue cross blue shield claims address. Blue Cross Blue Shield of Arizona PO Box 13466 Phoenix AZ 85002-3466. If you need a claim form or help on how to file a claim call Blue Cross NCs Customer Service at 1-877-258-3334 or write to. Box 805107 Chicago IL.
The Blue Cross Blue Shield Association has two office locations. Applicable ProductsCommercial PPOEPO Exchange POSEPO Applicable Products. Box 3418 Scranton PA 18505 Blue Cross Community MMAI Medicare-Medicaid Plan co Provider Services PO.
The Blue Cross Blue Shield Association is an association of 35 independent locally operated Blue Cross andor Blue Shield companies. Box 660044 Dallas TX 75266-0044. 450 Riverchase Parkway E.
Please mail your dental claims to. 1310 G Street NW. 225 North Michigan Ave.
Mail Premium Payments to. If you visit an out-of-network provider you will need to submit one of these claim forms to Blue Cross the address is on the form. Blue Cross and Blue Shield of Oklahoma 3817 Northwest Expressway Suite 300 Oklahoma City OK 73112 918 560-3500.
Blue Cross Blue Shield Settlement co JND Legal Administration PO Box 91390 Seattle WA 98111. If a provider must file a paper claim mail claim to Blue Cross and Blue Shield of Texas PO. Claim filing address for Commercial products.
After completing the appropriate form mail it to the address shown on the back of your patients Blue Cross NC member ID card. Box 4168 Scranton PA 18505. Blue Cross and Blue Shield of Texas PO.
Dental Blue Claims Unit PO Box 2100 Winston-Salem NC 27102. Claim review submission address. Individual and Medicare Supplement Member Premium Payment Blue Cross Blue Shield of Arizona PO.
Box 2924 Phoenix AZ 85062-2924. Box 2291 Durham NC 27702-2291. 2021 Horizon Blue Cross Blue Shield of New Jersey Three Penn Plaza East Newark New Jersey 07105.
Mail Applications and Correspondence to. Blue Cross Blue Shield of North Carolina Attn. 26 rijen Blue Cross Blue Shield Address - Claims.
Mail Claims or Claims Correspondence to. All claims should be filed electronically. Local Blue Cross and Blue Shield Mailing Addresses Last Update 10242013 StateAlpha Prefix Claims Filing Address Alabama BCBS of Alabama PO.
Box 995 Birmingham AL 35298 Arkansas Arkansas BCBS PO Box 2181 Little Rock AR 72203 -2181 Arizona BCBS of Arizona PO Box 2924 Phoenix AZ 85062 -2924 California BC of California PO Box 60007. Some health plans may use different claim forms. Blue Cross NC Customer Service P.
Include the patients Blue Cross NC member ID number on all claim attachments and correspondence. Blue Cross Community Health Plans co Provider Services PO. Blue Cross and Blue Shield of Illinois PO.
The Blue Cross Blue Shield Association is an association of 35 independent locally operated Blue Cross andor Blue Shield companies. Blue Cross Blue Shield of Arizona PO. Taking Action to Address Racial Health Disparities Learn how Blue Cross and Blue Shield companies are addressing our nations crisis in racial health disparities at our new Health Equity website.
Blue Cross and Blue Shield of Oklahoma PO Box 3283 Tulsa OK 74102-3283. Tips for paper claim submission. Tracking Blue Cross claim payments online.
Claims may be submitted online or by mail to. Mail original claims to the appropriate address as noted below. Blue Cross and Blue Shield of Oklahoma 1400 S Boston Tulsa OK 74119-3613 918 560-3500.
To make a claim and receive a payment you must file a claim form online or by mail postmarked by November 5 2021. Chicago Headquarters Washington DC. Blue Cross and Blue Shield Service Benefit Plan Retail Pharmacy Program PO.
Commercial HMO POS. 4 rijen Claims Address. Box 52057 Phoenix AZ 85072-2057.
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