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Ely. Do not hold to submit with the claim. Check here if you will be electronically submitting this to your local BC and/or BS Plan and you have the Policy Holders signature on file. Member: Your Blue Cross and/or Blue Shield contract may contain a Coordination of Benefits (COB) provision. Your Plan depends upon your help in order to process your claims correctly and appreciates your prompt and accurate reply. If any of the information below changes, please contact your Blue Cross and/or Blue S.

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Blue Cross Blue Shield of Mass (Payer ID CBMA1) ACS CONSULTING SERVICE (Payer ID 72468) NC BCBS (Payer ID 61473)

Paper submission 1500 form to:UB-04 form to:ADA 2019 form to: Blue Cross Blue Shield Data Capture PO Box 986020 Boston, MA 02298 Blue Cross Blue Shield Data Capture PO Box 986015 Boston, MA 02298 Blue Cross Blue Shield Process Control PO Box 986005 Boston, MA 02298

Your member number, also known as your identification number, is listed directly below your name. You'll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. If your group number is available, you'll find it directly below your member number.

Submitting claims For faster processing and payment, submit claims and receive payments electronically using electronic data interchange (EDI) or the Real-time claims tool. You can also submit via SimpliSend or by postal mail.

Helpful Contact Numbers Individual and Family PlansContact Information Blue 365 Deals (855) 511-BLUE Membership Address Blue Cross and Blue Shield of Texas Attn: Membership P.O. Box 660819 Dallas, TX 75266-0819 Claims Address Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-004412 more rows

Can't submit your replacement claim electronically? 1500 replacement claim to:UB-04 replacement claim to: Blue Cross Blue Shield of MA Data Capture P.O. Box 986020 Boston, MA 02298 Blue Cross Blue Shield of MA Data Capture P.O. Box 986015 Boston, MA 02298

BCBSMA formed in 1988 after the merger of Blue Cross and Blue Shield of Massachusetts.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232