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  • Bcbswny Provider Claim Form Fillable

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Letter (F6-4) P.O. Box 80 Buffalo, NY 14240-0080 SUBSCRIBER CLAIM FORM MEDICAL BENEFITS *** MAIL COMPLETED FORM TOGETHER WITH ALL ITEMIZED BILLS TO ADDRESS SHOWN ABOVE. IF CLAIM FORM IS NOT COMPLETE.

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Contact Us HIGHMARK. ... 1-866-588-6967 — Freedom BlueSM PPO Provider Service Center. 1-866-675-8635 — Freedom Blue PFFS Provider Service Center. 1-866-634-6468 — Requests for Medical Management and Policy peer-to-peer conversations. 1-800-992-0246 — EDI Operations (electronic billing)

Pittsburgh, PA Highmark / Headquarters

Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.

For Traditional Indemnity, PremierBlue Shield, BlueChip Indemnity, BlueCard PPO, and Federal Employee Program PPO send claims to Highmark Blue Shield P.O. Box 890062 Camp Hill, PA 17089-0062 Page 3 OCTOBER, 2008 Claim Filing Addresses, continued Western Region Only If Type Of Claim Is… Then Mail To… For BlueCard POS ...

Return the completed Claim Form to: Highmark Blue Cross Blue Shield, the Claims Administrator for the medical component of the Plan, at the following address: Highmark Blue Cross Blue Shield P. O. Box 1210 Pittsburgh, PA 15230-1210 • Attach: all original itemized bills to the claim form.

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© Copyright 1997-2025
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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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