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Blue Cross Bluesier Of South Carolina Subrogation / Workers Compensation I-20 at Alpine Road Columbia, SC 29219-0001 1-800-288-2227, extension 43060 Fax: 1-803-865-0654 An independent licensee of
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How to fill out subrogation form 12-01

How to fill out subrogation form 12-01:
01
Start by carefully reading the instructions provided with the form. This will ensure that you understand the purpose and requirements of the subrogation process.
02
Gather all the necessary information. You will typically need details about the parties involved, such as names, contact information, and insurance policy numbers. You may also need to provide a description of the incident or loss being claimed.
03
Fill in the appropriate sections of the form. This may include providing information about the primary insurance policy, details of any third-party involved, and the amount of the claim being subrogated.
04
Use clear and concise language when completing the form. Make sure to double-check the accuracy of all the information provided to avoid any potential errors or delays.
05
Sign and date the form as required. Depending on the instructions, you may need to get it notarized or witnessed by a third-party.
06
Make copies of the completed form for your records. This will help you keep track of the information provided and serve as a reference if needed in the future.
07
Submit the form to the appropriate party or organization according to the instructions provided. This may involve mailing it to an address or submitting it online.
08
Follow up on the status of your subrogation claim if necessary. Keep track of any communication or documentation related to the claim and be prepared to provide additional information if requested.
Who needs subrogation form 12-01?
01
Insurance companies: Subrogation forms are commonly used by insurance companies when they need to recover amounts paid out on claims from liable third parties. By filing a subrogation claim, insurance companies aim to minimize their losses and ensure that the responsible party covers the costs.
02
Individuals or businesses seeking subrogation: If you have been involved in an incident and believe that another party is responsible for the damages or losses incurred, you may need to fill out subrogation form 12-01 to initiate the subrogation process. This form allows you to provide necessary details and information about the claim to the insurance company involved.
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What is subrogation form 12-01?
Subrogation form 12-01 is a legal document used to transfer the rights and responsibilities of one party to another in terms of insurance claims.
Who is required to file subrogation form 12-01?
Insurance companies and individuals involved in insurance claims are required to file subrogation form 12-01.
How to fill out subrogation form 12-01?
To fill out subrogation form 12-01, one must provide detailed information about the parties involved, the insurance claim details, and sign the document to acknowledge the transfer of rights.
What is the purpose of subrogation form 12-01?
The purpose of subrogation form 12-01 is to legally transfer the rights and responsibilities of insurance claims from one party to another, allowing for the proper resolution of claims.
What information must be reported on subrogation form 12-01?
Information such as the names of the parties involved, policy numbers, claim details, and signatures acknowledging the transfer of rights must be reported on subrogation form 12-01.
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