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  • Stanford Claim Form - Blue Shield

Get Stanford Claim Form - Blue Shield

Stanford Statement of Claim Mail to: P.O. Box 272560, Chico, CA 95927-2560 (800) 873-3605 PLEASE PRINT OR TYPE Important instructions Submit this form with each claim Use a separate form for: A. Each.

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How to fill out the Stanford Claim Form - Blue Shield online

Filling out the Stanford Claim Form - Blue Shield online is a process designed to efficiently submit your claims. This guide will provide you with a clear, step-by-step outline to help you navigate the form with confidence.

Follow the steps to complete your claim form accurately.

  1. Press the ‘Get Form’ button to access the Stanford Claim Form - Blue Shield online.
  2. Begin by completing the plan information section: Indicate your medical plan type, whether you were referred by a Primary Care Physician, and any details regarding the services being claimed.
  3. In the subscriber and patient information section, fill in the subscriber's and patient's names, mailing address, date of birth, gender, and relationship to the subscriber. Ensure that you note whether the address is new and provide details about the patient's health condition.
  4. Provide additional health coverage information if applicable, including Medicare details, other health insurance coverage, and policy identification numbers. Be thorough in this section to avoid delays.
  5. Ensure you describe the illness or injury succinctly and clarify if it is employment-related. Include relevant dates and the nature of the medical issue, ensuring all necessary medical information is complete and accurate.
  6. If applicable, complete the physician or supplier information on the reverse side, including the id number, dates of service, and any charges related to the treatment. Detail all procedures, services, or supplies in the provided sections.
  7. Finally, review the entire form carefully. Once everything is filled out accurately, save your changes, and choose to download or print the completed form for your records. You can then submit the form as required.

Start completing your Stanford Claim Form - Blue Shield online today to ensure a smooth claims process.

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Stanford Health Care is contracted with most major health insurance carriers. Coverage for your care at Stanford Health Care is determined by your insurance company and is based on the provisions of your specific plan.

Stanford Health Care and Stanford Medicine Children's Health will continue to welcome Anthem Blue Cross PPO patients and honor Anthem Blue Cross's in-network rates for all services and care at our facilities.

If you have a PPO/EPO/POS plan: Stanford Health Care is in-network for hospital and physician services. This includes specialist and primary care physician services. If you have an HMO plan: Stanford Health Care accepts Anthem members for hospital and specialist physician services.

11. I have a Covered California Small Business Plan (formerly known as SHOP.) Is my plan accepted at Stanford Health Care? Both Stanford Hospital and Stanford Health Care physicians are considered in-network with the Blue Shield PPO/ HMO (specialty services only) and Health Net PPO SHOP plans.

Is my plan accepted at Stanford Health Care? Both Stanford Hospital and Stanford Health Care physicians are considered in-network with the Blue Shield PPO/ HMO (specialty services only) and Health Net PPO SHOP plans.

Medical Groups (HMO only) – effective 12/1/2022 With this new contract agreement, Stanford Health will return to Anthem's Network as noted above. For questions, please contact a member of your B&P Sales Team - 888.722. 3373.

Stanford Health issued a notice to terminate its Commercial Contracting Hospital Agreement with Anthem Blue Cross effective September 1, 2022. The Stanford Health-Affinity Medical Groups would also be terminating effective September 1, 2022.

Stanford Health Care and its physicians are in-network with out of state Blue Cross/Blue Shield plans, as long as the plan uses the nationwide network of providers. This is known as the Blue Card network.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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