Blue Cross Blue Shield International Medical Claim Form - Page 2
What is Blue Cross Blue Shield International Medical Claim Form?
The Blue Cross Blue Shield International Medical Claim Form is a document used to file for reimbursement of medical expenses incurred outside the United States. It is specifically designed for Blue Cross Blue Shield members who require medical treatment or services while traveling abroad.
What are the types of Blue Cross Blue Shield International Medical Claim Form?
There are two types of Blue Cross Blue Shield International Medical Claim Forms:
Blue Cross Blue Shield International Medical Claim Form for Members: This form is to be used by individual members to seek reimbursement for their own medical expenses incurred internationally.
Blue Cross Blue Shield International Medical Claim Form for Providers: This form is used by healthcare providers to submit claims on behalf of their Blue Cross Blue Shield International members.
How to complete Blue Cross Blue Shield International Medical Claim Form
Completing the Blue Cross Blue Shield International Medical Claim Form is a straightforward process. Here are the steps to follow:
01
Fill in your personal information, such as your name, address, and Blue Cross Blue Shield membership number.
02
Provide details about the medical treatment or services received, including the name of the provider, dates of service, and a description of the treatment.
03
Attach copies of any relevant medical bills, receipts, or documentation that support your claim.
04
Review the completed form for accuracy and completeness before submitting it.
05
Submit the form through the designated channel specified by Blue Cross Blue Shield.
06
Keep a copy of the completed form and supporting documents for your records.
By following these simple steps, you can ensure that your Blue Cross Blue Shield International Medical Claim Form is properly completed and increase the chances of a successful reimbursement of your medical expenses.
Video Tutorial How to Fill Out Blue Cross Blue Shield International Medical Claim Form
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Questions & answers
What insurance is accepted in all 50 states?
Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.
Is BCBS in every country?
BCBS companies provide coverage to people across every ZIP code in all 50 states, the District of Columbia and Puerto Rico. Through the BlueCard® program, BCBS members can receive healthcare services throughout the United States and around the world.
What is the member submitted claim form used for?
Highmark Blue Cross Blue Shield.
How do I submit a claim to Highmark BCBS?
Return the completed Claim Form to: Highmark Blue Cross Blue Shield, the Claims Administrator for the medical component of the Plan, at the following address: Highmark Blue Cross Blue Shield P. O. Box 1210 Pittsburgh, PA 15230-1210 • Attach: all original itemized bills to the claim form.
What is the timely filing limit for Highmark BCBS?
The initial claim must be received and accepted in compliance with federal and/or state mandates regarding claims timely filing requirements to be considered for reimbursement. Highmark BCBSWNY follows the standard of: • 120 days for participating providers and facilities.
Is Blue Cross Blue Shield is accepted worldwide?
Outside the U.S. you have access to doctors and hospitals in more than 200 countries and territories around the world with the Blue Cross Blue Shield Global Core program. Before you leave for your trip, you'll want to make sure you have international benefits with your plan.
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