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  • Excellus Simply Blue Group Enrollment Form

Get Excellus Simply Blue Group Enrollment Form

P.O. Box 22999, Rochester, NY 14692 A nonprofit independent licensee of the BlueCross BlueShield Association SimplyBlue GROUP ENROLLMENT FORM PLEASE PRINT CLEARLY Instructions on last page. All Dates.

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The BlueCard® Program links participating healthcare providers and the independent Blue Cross and Blue Shield Plans across the country and abroad with a single electronic network for claims processing and reimbursement.

Group Number The group number can be found on the first page of your Excellus BCBS insurance bill, in the upper right corner.

A nonprofit independent licensee of the Blue Cross Blue Shield Association. GREATER TOMPKINS CO. MUNICIPAL HLTH INS.

Excellus, and Anthem are all part of the Blue Cross and Blue Shield system, as is Florida Blue. The system includes 37 independent, locally operated companies across the U.S. This affiliation (or system) enables Blue Cross and Blue Shield members to access high-quality health care anywhere in the country.

BlueCard is a national program that allows Blue Cross and Blue Shield members to obtain health care services while traveling or living in another Blue Cross and Blue Shield service area.

You must file your appeal request within sixty (60) calendar days from the date on the written notice of denial. We may give you more time if you have a good reason for missing the deadline.

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

BlueCard is a national program that enables members of one Blue Cross and Blue Shield (BCBS) Plan to obtain health care services while traveling or living in another BCBS Plan's service area.

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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