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The list below is for Provider contracting only. It should not be used to check claim status, referrals, general inquiries or for any other usage. Blue Cross Medicare Advantage (HMO)SM (MA HMO) Medical

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What is form list below is?

{"form":"Form SS-4"}

Who is required to file form list below is?

{"required":"Individuals or entities applying for an Employer Identification Number (EIN)"}

How to fill out form list below is?

{"instructions":"Fill out the form online or by mail with the required information"}

What is the purpose of form list below is?

{"purpose":"To apply for an Employer Identification Number (EIN)"}

What information must be reported on form list below is?

{"information":"Legal name, trade name, address, responsible party information, etc."}

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