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DO NOT WRITE IN THIS PREVISION FORM Mail: PO Box 65339 STN F, Vancouver, BCV5N 5P3 | Drop it off: 4250 Canada Way, Burnaby, BC | PAC.blue cross.ca CHOOSE ONE: PREDETERMINATION/PREAUTHORIZATION signatures
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Pacific Blue Cross is a health insurance provider in British Columbia, Canada.
Employers in British Columbia may be required to file Pacific Blue Cross for their employees.
Pacific Blue Cross forms can be filled out online or submitted by mail.
The purpose of Pacific Blue Cross is to provide health insurance coverage to individuals and families.
Pacific Blue Cross forms typically require information such as employee details, dependent information, and coverage details.
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