Blue Cross Blue Shield Nc Claim Form - Web provider / doctor claim inquiry (pdf) provider evaluation form (pdf) provider refund return form (pdf) get the blue. For medical claims (doctor's visits) medical supplies, and vision claims submit your. View instructions for submitting claims, appeals and inquiries at a glance for each. All information provided on or attached to this. Use a separate claim form for each member and prescription. Web to download claim forms click here. Web if you need a claim form or help on how to file a claim, log in to blue connect and select claims or call customer service at 877.
Web to download claim forms click here. All information provided on or attached to this. Use a separate claim form for each member and prescription. For medical claims (doctor's visits) medical supplies, and vision claims submit your. Web provider / doctor claim inquiry (pdf) provider evaluation form (pdf) provider refund return form (pdf) get the blue. Web if you need a claim form or help on how to file a claim, log in to blue connect and select claims or call customer service at 877. View instructions for submitting claims, appeals and inquiries at a glance for each.