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  • Independence Blue Cross Form 16970 2020

Get Independence Blue Cross Form 16970 2020-2025

Application for Adult Dental Individual CoverageThe Adult Dental Individual Coverage is underwritten by QCC Insurance Company Instructions: 1. This application should be used if you wish to enroll.

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Independence Blue Cross is the leading health insurance company in southeastern Pennsylvania, and with our affiliates we serve more than 8 million people nationwide.

Since 1929, Blue Cross Blue Shield (BCBS) companies have provided healthcare coverage to members, allowing them to live free of worry, free of fear. In every ZIP code, Blue Cross Blue Shield offers a personalized approach to healthcare based on the needs of the communities where their members live and work.

Important telephone numbers Philadelphia areaCarelon Medical Benefits Management [formerly AIM Specialty Health® (AIM)]Provider Automated System1-800-ASK-BLUE (option 2) (1-800-275-2583, option 2) .ibx.com/providerautomatedsystemProvider Services Mon. – Fri., 8 a.m. – 5 p.m.1-800-ASK-BLUE (1-800-275-2583)49 more rows

You can also call Customer Service at 1-800-ASK-BLUE (1-800-275-2583) to find out if the prior authorization has been approved. Once your record shows the drug has been approved, the pharmacist can fill the prescription. 5.

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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