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PRO-193 (Rev. 08/2010). An Independent Licensee of the Blue Cross and Blue Shield Association ... Section i. General Application information This section is to identify the reason for submitting this

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What is bcbssc ancillary form?

The bcbssc ancillary form is a document used by individuals or businesses to report ancillary insurance coverage to the BlueCross BlueShield of South Carolina.

Who is required to file bcbssc ancillary form?

Any individual or business that has ancillary insurance coverage with BlueCross BlueShield of South Carolina is required to file the bcbssc ancillary form.

How to fill out bcbssc ancillary form?

To fill out the bcbssc ancillary form, you need to provide your personal or business information, details about the ancillary insurance coverage, and any other required information as specified in the form.

What is the purpose of bcbssc ancillary form?

The purpose of the bcbssc ancillary form is to ensure that BlueCross BlueShield of South Carolina has accurate records of ancillary insurance coverage for individuals or businesses.

What information must be reported on bcbssc ancillary form?

The bcbssc ancillary form requires the reporting of personal or business information, details of the ancillary insurance coverage, and any additional information requested in the form.

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