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  • Excellus Subscriber Claim Form Fax Number

Get Excellus Subscriber Claim Form Fax Number

165 Court Street Rochester, NY 14647 A nonprofit independent licensee of the BlueCross BlueShield Association University of Rochester Mail Completed Claims To: Excellus BlueCross BlueShield PO Box.

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For Emergency Admissions, Elective Admissions, or Surgical/Medical Authorizations, Call Customer Care: 1-800-363-4658. or call 1-800-363-4658.

Give our Customer Care team a call at 1-800-234-4781 and we will help connect you to the support you need.

Payer ID - BCBSCNY: Excellus BCBS CNY. Use this payer if your practice is in the following counties: Oswego. Onondaga.

Requests must be sent with the appropriate documentation to Excellus within 120 days from the date of denial in order to have the denied portion of the claim reconsidered.

To submit a claim electronically, please login and go to Submit Claims page. Medical or Vision Claim Form - Use to submit medical services from a provider, hospital, DME vendor, etc. ... Prescription Drug Claim Form - Use for prescriptions that were purchased and/or reimbursement for covered at-home COVID-19 tests.

You may send your request in writing to us at: PO Box 546, Buffalo, NY 14201-0546. Or, you may send your request to our fax number at 1-716-843-7860. Please be sure to sign and date your letter.

What is Covered? Our Qualified Health Plans include prescription drug coverage and home delivery, telemedicine, free preventive care, dental and vision coverage for children, and access to 100% of hospitals and 99% of doctors in our area. Plus, our BlueCard® program gives you access to care when you travel.

What is Covered? Our Qualified Health Plans include prescription drug coverage and home delivery, telemedicine, free preventive care, dental and vision coverage for children, and access to 100% of hospitals and 99% of doctors in our area. Plus, our BlueCard® program gives you access to care when you travel.

or call 1-800-363-4658. or call 1-844-694-6411.

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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
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