Bcbs Additional Information Form
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If you received an additional information request letter from bcbsil, follow the instructions provided and use that letter as the cover sheet. To create a new provider group or facility record, please complete the provider. If this information is not submitted with the claim(s), services will be denied until the information is received. Web additional information form additional information requested.
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Web documentation from bcbstx requesting additional information primary carrier's eob indicating claim was filed with the primary carrier within the timely filing deadline. Review each form to determine the appropriate form to use. Web get links to current claim forms, understand how to submit claims to bcbstx, read claim responses and use the claim review form to submit adjustment requests..
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