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BCBS WI ERA PRE-ENROLLMENT INSTRUCTIONS 00950 Anthem is requiring that all providers use the new ERA Enrollment Form. For ERA & EFT or EFT ONLY: ? Providers are required to use the CASH online enrollment.
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How to fill out bcbs wi era pre-enrollment

How to fill out bcbs wi era pre-enrollment:
01
Start by obtaining the bcbs wi era pre-enrollment form from the official website of Blue Cross Blue Shield of Wisconsin.
02
Carefully read through the instructions provided on the form to understand what information is required and how to fill it out correctly.
03
Begin filling out the form by providing your personal information, including your full name, date of birth, social security number, and contact information.
04
Indicate your current healthcare coverage by providing details about your current insurance plan, including the insurance company's name, policy number, and group number, if applicable.
05
Provide information about your employer, such as the name of the company and your employment status.
06
If applicable, include information about your spouse's insurance coverage, including their insurance company, policy number, and group number.
07
Specify if you have any dependents who require insurance coverage and provide their relevant information, including their full names, dates of birth, and relationship to you.
08
Review the completed form to ensure all the information provided is accurate and complete. Make any necessary corrections or additions before submitting it.
09
Sign and date the form to certify that the information provided is true and accurate to the best of your knowledge.
Who needs bcbs wi era pre-enrollment?
01
Individuals who are planning to enroll in a health insurance plan offered by Blue Cross Blue Shield of Wisconsin need to complete the bcbs wi era pre-enrollment form.
02
Employees who are eligible for employer-sponsored health insurance through Blue Cross Blue Shield of Wisconsin may also need to fill out this form to initiate the enrollment process.
03
Spouses and dependents who will be included in the insurance coverage also need to complete the bcbs wi era pre-enrollment form to provide their personal and insurance information.
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What is bcbs wi era pre-enrollment?
BCBS WI ERA pre-enrollment is a process for current Blue Cross Blue Shield of Wisconsin members to indicate their enrollment choices for the upcoming plan year.
Who is required to file bcbs wi era pre-enrollment?
All current BCBS WI members are required to file ERA pre-enrollment to indicate their enrollment choices for the upcoming plan year.
How to fill out bcbs wi era pre-enrollment?
BCBS WI ERA pre-enrollment can be filled out online through the BCBS WI member portal or by completing a paper form and submitting it by mail.
What is the purpose of bcbs wi era pre-enrollment?
The purpose of BCBS WI ERA pre-enrollment is to allow members to make choices about their coverage for the upcoming plan year and ensure accurate enrollment data for the insurance provider.
What information must be reported on bcbs wi era pre-enrollment?
Information such as updated contact details, dependent information, any changes in coverage preferences, and other relevant information must be reported on BCBS WI ERA pre-enrollment.
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