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Click ‘Get Form’ to open the BCBSM Subrogation Unit Questionnaire in the editor.
Begin by entering the date at the top of the form. This helps track when the submission is made.
Fill in the client’s name and date of birth accurately, as this information is crucial for identification.
Input the contract number found on your BCBSM card, ensuring it is a 9-digit number.
If applicable, provide your spouse's name and date of birth if they are also covered under the BCBSM policy.
Enter your phone number for any follow-up communications regarding your case.
Select the type of case from the provided options, such as Personal Injury or Motor Vehicle Accident.
Indicate whether a vehicle was involved in the incident by selecting 'Yes' or 'No'.
Complete sections regarding attorney details and insurance information, ensuring all fields are filled out correctly.
Review all entries for accuracy before submitting. Once complete, fax the form to 877-257-2012 as instructed.

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What is the phone number for Anthem subrogation?

If you receive a questionnaire and believe that you have already responded to it, please call our Customer Care Center at 1-800-645-9785 to verify with a representative whether we have received your response.

Who is Carelon subrogation?

What is Subrogation? Answer-A cost containment feature in your BCBST policy that ensures medical expenses that result from an accident or work related injury or illness are paid by the appropriate party.

What is the phone number for Anthem Blue Cross subrogation?

Call us at 866-891-7397. One of our representatives can take your information by phone. For assistance in Spanish, please click here.

What is the subrogation clause for Blue Cross Blue Shield?

Non-participating providers: Call the number on the back of the members ID card or call 800-676-BLUE (2583) to reach Provider Services. You can also use chat or secure messaging directly in Availity.

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