• Type your information on the Health Insurance Claim Form found on this page.
• Make sure to include date of service, patient name, charged amounts, healthcare provider name, address, procedure, and diagnosis codes.
• If mailing your Health Insurance Claim Form, please make sure to always keep a copy.

To avoid headaches with the mail, we highly encourage you to upload your claims directly to the BCBS website. Simply click on the link below, register and login to your personal account.