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  • Overpayment Return Form - Excellus Bluecross Blueshield

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With the overpayment. You may use this form for multiple overpayment returns as long as they are all tied to the same Subscriber ID. This form is to be used for local claims only. Do not return overpayments for BlueCard host claims or claims involving NYHCRA pools. For BlueCard host claims and claims involving NYHCRA pools, notify us in writing at the address listed below and be sure to include a copy of the remittance in question so that we may initiate a retraction. Subscriber ID:.

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Empire Blue Cross Blue Shield (BCBS)

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.

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.

Call the NY State of Health Customer Service Center at 1-855-355-5777 (TTY: 1-800-662-1220).

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

Online at this website. By phone at 1-855-355-5777. In person.

How to cancel Blue Shield of California Call this number: (888) 256-3650. Ask to speak with an agent. Provide them with your membership information. Request termination of your contract. Ask for a confirmation email.

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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