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Get Medical Claim Form - BCBSTX

P.O. Box 660044 Dallas, Texas 75266-0044 Please Print or Type Claim Form to Pay Insured/Subscriber Each item on this form needs to be completed. Instructions for completion are listed on the reverse.

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  1. Click on the orange Get Form button to start filling out.
  2. Turn on the Wizard mode on the top toolbar to obtain extra suggestions.
  3. Complete each fillable area.
  4. Be sure the data you fill in Medical Claim Form - BCBSTX is updated and correct.
  5. Include the date to the document using the Date option.
  6. Click on the Sign button and create a signature. You can use three available choices; typing, drawing, or uploading one.
  7. Re-check every area has been filled in correctly.
  8. Click Done in the top right corne to export the sample. There are various ways for getting the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

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