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Questions? Please contact your EDI solutions reseller for help with EDI enrollment forms. 03/2008 Blue Cross Blue Shield Western ASK, INC New York Enrollment Instructions Professional Claims & ERA

How to fill out blue cross blue shield

How to fill out blue cross blue shield:

1. Start by gathering all your personal information. This includes your name, date of birth, address, social security number, and contact information.
2. Next, you will need to provide details about your current health insurance coverage, if any. This includes the name of your current insurance company and policy number.
3. Specify the type of blue cross blue shield plan you are applying for. This can include individual or family coverage, employer-based coverage, or government programs like Medicare or Medicaid.
4. Provide information about any dependents you wish to include on the coverage. This typically includes their names, dates of birth, and relationship to you (such as a spouse or child).
5. Fill out the medical history section honestly and accurately. This may include any pre-existing conditions or past surgeries that may impact your coverage.
6. Review and double-check all the information you have entered to ensure it is correct and complete. Any errors or missing information can delay the processing of your application.

Who needs blue cross blue shield:

1. Individuals who are not covered by an employer-based health insurance plan may need blue cross blue shield. This can include self-employed individuals, freelancers, or those who are unemployed.
2. Families who want comprehensive health insurance coverage for themselves and their dependents often choose blue cross blue shield.
3. Seniors who are eligible for Medicare may opt for blue cross blue shield as a supplemental plan to cover additional medical expenses not covered by Medicare alone.
4. Individuals with pre-existing conditions who are seeking reliable health insurance coverage may find blue cross blue shield to be a suitable option.

Note: It is important to consult with insurance professionals or visit the official blue cross blue shield website for specific and up-to-date information regarding the application process and eligibility criteria.

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