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Find and download claim forms for medical, pharmacy and overseas services for FEP members. Learn how to enroll, appeal, request exceptions and more.
Get links to current claim forms, understand how to submit claims to BCBSTX, read claim responses submit claim reconsiderations electronically or via the paper claim review form. Also refer to the Provider Tools page on the provider website for convenient tools available.
Important: DO NOT file this form if your Provider of Service is submitting : these charges to Blue Cross and Blue Shield of Texas. Please complete every item on claim form. This completed form, together with the itemized bills, should be submitted to: Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, Texas 75266-0044 1 Insured ...
Learn how to file a claim for health benefits, dental benefits, Medicare reimbursement, overseas services and FEP Medicare prescription drug program. Download and print the appropriate claim forms and mail them to the Blue Cross and Blue Shield company in your state.
Find and download forms for your Anthem plan by selecting your state. Browse forms for pharmacy, enrollment, claims and more topics.
Find your local BCBS company website to access your login and benefits, review a claim and more. Use the interactive tool or select your region to connect to My BCBS and manage your health plan.
Make a payment, find a doctor, check your claim status and get an overview of your coveragemore. Members can also earn up to $100 in gift cards through our BluePoints ℠ program, accessed through BAM.
Health Plans. Member forms. For forms and documents related to your health plan, start here. Looking for Medicare forms? Visit the Forms Library for documents specific to Medicare, including claims and enrollment forms. Medicare Forms Library. Claims forms. Medical, vision, and medical supplies claims forms. Prescription drug claims forms.
Access Medicare forms, including claim and enrollment forms, along with plan documents, including provider directories, benefits overviews and more. View all Medicare forms and documents. Claims. Prescription drugs & pharmacy. Complaints and appeals. Direct deposit. Legal & disclosure. Add a dependent.
Download and print a PDF form to claim health benefits from FEP Blue, a health insurance plan for federal employees and retirees. Fill out the form with patient information, diagnosis, charges, and signature, and attach itemized bills.