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Home Office Use OnlyApplication for Medicare Supplement Insurance Plan Instructions 1. To be considered for coverage, you must have Medicare Parts A and B, reside in Illinois, and be: a) age 65 or
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Blue Cross Blue Shield is a health insurance company that offers various health insurance plans.
Individuals or families who are enrolled in a Blue Cross Blue Shield health insurance plan may be required to submit claims for medical services.
To fill out Blue Cross Blue Shield claims, individuals must provide details about the medical service received, including the provider's name, date of service, and cost.
The purpose of Blue Cross Blue Shield claims is to request reimbursement for medical services covered by the insurance plan.
Information such as the patient's name, insurance policy number, diagnosis code, and treatment provided must be reported on Blue Cross Blue Shield claims.
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