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Coordination of Benefits / Direct Claim Form See the back for instructions. Complete all information. An incomplete form may delay your reimbursement. Member/Subscriber Information See your prescription
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It is the website of Blue Cross Blue Shield of North Carolina.
Individuals or entities who have a business relationship with Blue Cross Blue Shield of North Carolina.
You can fill out the necessary information online on their website or contact their customer service for assistance.
The purpose is to report important information related to business transactions with Blue Cross Blue Shield of North Carolina.
It may include financial transactions, services provided, or any other relevant details.
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