Get Ms Blue Cross & Blue Shield 13007e 2015-2025

This guide provides a comprehensive overview of how to complete the MS Blue Cross & Blue Shield 13007e form online. By following these steps, you can ensure a smooth process for submitting your medical claims.

Follow the steps to complete your claim form accurately.

1. Click the ‘Get Form’ button to access the claim form and open it in your preferred editor.
2. Begin by filling out the patient information section. Enter the patient's full name without nicknames, date of birth in the specified format (month/day/year), and identification number as shown on the I.D. card.
3. Indicate the patient's sex by selecting either male or female and provide the current mailing address, marking the checkbox if this is a new address.
4. Select the relationship of the patient to the employee from the options provided: self, child, spouse, or other.
5. Provide the current telephone numbers for home and office, including area codes.
6. If the patient has other health insurance, indicate 'Yes' or 'No,' and complete additional fields including the name of the policyholder and employer.
7. Check if the patient is covered under Medicare Part A or B. If active employment is applicable, answer accordingly.
8. If the claim is related to an accident or illness, provide details such as the date and as much descriptive information as possible.
9. In the authorization section, certify that all information is accurate and sign with the date.
10. Once all fields are completed, save any changes. You can download or print the form for your records and then submit it as instructed.

Encourage completion of documents online today for a streamlined claims process.