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Fillable BCBS 13007 State Claim Form

Fillable BCBS 13007 State Claim Form 2025

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The document is a Medical Claim Form designed for patients to file itemized medical bills for themselves or family members. It includes sections for patient information, other health insurance details, condition and treatment descriptions, and an authorization statement. Instructions are provided on how to complete the form and submit it to Blue Cross & Blue Shield of Mississippi, emphasizing the need for separate forms for each family member and the inclusion of itemized bills.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (55 Votes)
2020	4.4 Satisfied (134 Votes)
2020	4.7 Satisfied (51 Votes)
2020	4.3 Satisfied (26 Votes)
2020	4.2 Satisfied (36 Votes)
2020	4.8 Satisfied (101 Votes)
2020	4.8 Satisfied (261 Votes)
2020	4.8 Satisfied (117 Votes)
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2019	4.8 Satisfied (130 Votes)
2019	4.8 Satisfied (54 Votes)
2019	4.8 Satisfied (51 Votes)
2019	4.8 Satisfied (142 Votes)
2019	4.8 Satisfied (35 Votes)
2019	4.8 Satisfied (171 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the phone number for FEP Blue claims?

What should I do? For all inquiries, feedback and suggestions regarding the fepblue mobile app, please call 1-800-411-BLUE (2583) and follow the prompts for MyBlue support.

How do I file a claim with Blue Cross Blue Shield FEP?

You can submit your out-of-network claim electronically using the mobile app, member log-in portal on our website, or you can obtain claim forms on the website at .bcbsfepvision.com or call 1-888-550-2583 or TTY: 1-800-523-2847.

How to submit a claim to Blue Cross Blue Shield Rhode Island?

To file a claim: Complete a CMS-1500 claim form. Submit the form to: Blue Cross Blue Shield of Rhode Island. ATTN: Claims Department. 500 Exchange Street. Providence, RI 02903.

How do I file a claim with BCBS of Mississippi?

Once registration is complete, you may then submit your claim. If you have questions about the eClaims Filing Tool, review the information below or contact our Customer Support Team at 601-664-4590 or 1-800-942-0278. Click here to access the eClaims Filing Tool.

Is Fep Blue the same as Blue Cross Blue Shield?

About the Blue Cross and Blue Shield Service Benefit Plan (FEP) The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program (FEP), has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960.

How to submit a claim to Blue Cross Blue Shield of Vermont?

.bluecrossvt.org/members to access your Secure Message Center! ✓ Click to send a New Message ✓ Click to Add Recipient and select the Customer Service department. ✓ Attach your claim form, invoice, and submission checklist and Send. We will return all incomplete claims.

How long do you have to file a claim with BCBS?

How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Anthem California 90 Days BCBS Illinois 180 Days Beacon Health 90 Days Blue Cross of California 180 Days28 more rows

Fillable BCBS 13007 State Claim Form 2025

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What is the phone number for FEP Blue claims?

How do I file a claim with Blue Cross Blue Shield FEP?

How to submit a claim to Blue Cross Blue Shield Rhode Island?

How do I file a claim with BCBS of Mississippi?

Is Fep Blue the same as Blue Cross Blue Shield?

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How to submit a claim to Blue Cross Blue Shield of Vermont?

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Fillable BCBS 13007 State Claim Form 2025

Here's how it works

How to modify Fillable BCBS 13007 State Claim Form online

See more Fillable BCBS 13007 State Claim Form versions

Complete this form in 5 minutes or less

Got questions?

What is the phone number for FEP Blue claims?

How do I file a claim with Blue Cross Blue Shield FEP?

How to submit a claim to Blue Cross Blue Shield Rhode Island?

How do I file a claim with BCBS of Mississippi?

Is Fep Blue the same as Blue Cross Blue Shield?

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People also ask

How to submit a claim to Blue Cross Blue Shield of Vermont?

How long do you have to file a claim with BCBS?

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