What Information Do You Need to Complete a Blue Cross Medical Claims Form?


Quick Answer

Information required by Blue Cross and Blue Shield on medical claims forms generally includes ID information on the insurance card and copies of the itemized receipts for the medical services claiming reimbursement. Other requirements include the enrollee's name and the name of the patient seeking reimbursement.

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Full Answer

The exact information required for Blue Cross and Blue Shield medical reimbursement forms varies based on the type of form, the state and the insurance provider. Information required by Blue Cross and Blue shield on its forms for medical reimbursement may include the date of the medical service for which the patient seeks reimbursement. Enrollees must also include information on the medical service provider, include the provider's name, address and possibly the provider's tax identification number. Required information about the medical services include a description of the service, the medical codes covering the service and the diagnosis.

For providers seeking reimbursement, claim forms may have a deadline for submitting for reimbursement, such as 180 days after service. For referrals, the forms also require information on the referring doctor or medical provider. If all the required information is not provided, the claim may be denied. Enrollees and providers may file medical reimbursement forms both online or through the mail.

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