Home
Forms Library
Certification of Dependency - BCBST

Get the up-to-date Certification of Dependency - BCBST 2025 now

Certification of Dependency - BCBST Preview on Page 1

Show details

4.6 out of 5

44 votes

The document is a Certification of Dependency form used to establish eligibility for dependent health care benefits. It requires information about the subscriber and their dependent, including the dependent's name, status, date of birth, marital status, employment details, and any additional support provided by the subscriber. It also includes sections for certifying disability by a physician and instructions for submission to BlueCross BlueShield of Tennessee.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to edit Certification of Dependency - BCBST in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling documents with our extensive and user-friendly PDF editor is straightforward. Follow the instructions below to fill out Certification of Dependency - BCBST online quickly and easily:

Log in to your account. Log in with your email and password or register a free account to test the service before upgrading the subscription.
Import a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Certification of Dependency - BCBST. Effortlessly add and underline text, insert pictures, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your document.
Get the Certification of Dependency - BCBST accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with other participants via a Shareable link or as an email attachment.

Take advantage of DocHub, the most straightforward editor to quickly handle your documentation online!

See more Certification of Dependency - BCBST versions

We've got more versions of the Certification of Dependency - BCBST form. Select the right Certification of Dependency - BCBST version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2011	4.6 Satisfied (44 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

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.

Are Blue Cross and Blue Cross Blue Shield the same?

In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS). Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans.

Does BlueCross BlueShield of Tennessee require prior authorization?

Prior authorization is required for certain procedures, services and medications, as well as for all inpatient admissions.

Is the Blue Cross Blue Shield of Tennessee the same as the Blue Cross Blue Shield?

Founded in 1945, the Chattanooga-based company is focused on serving more than 3.5 million members in Tennessee and across the country. BlueCross BlueShield of Tennessee Inc. is an independent licensee of the BlueCross BlueShield Association. For more information, visit the companys website at .bcbst.com.

How do I submit a claim to BCBS Tennessee?

You can download a claim form here. If you need help filing a claim or need us to send you one, call us at the number on the back of your Member ID card (TTY: 1-800-848-0298 or 711). Theres a time limit to submit a claim within 15 months from the date of care.

Who is the parent company of BlueCross BlueShield of Tennessee?

It is an independent, not-for-profit organization governed by its own board of directors. The organization is part of a nationwide association of health care plans licensed by the Blue Cross and Blue Shield Association.

How do I find my BCBS TN member ID without card?

Log in to My Health Toolkit online to view, print or share your member ID card any time you need it. Or download the mobile app and youll have your digital ID card right in your pocket any time you need it. You can get the app through the App Store or Google Play.

Can you use Blue Cross Blue Shield Tennessee in any state?

BlueCard Wherever You Go, Your Health Care Coverage Goes With You. When youre a BlueCross BlueShield of Tennessee plan member, you take your health care benefits with you across the country and around the world through the BlueCard program.

How can I tell which Blue Cross Blue Shield I have?

If you forget or arent sure what type of health insurance plan you have (like an HMO or PPO), you can find out on your BCBS ID card. If you have an HMO, your card may also list the physician or group youve selected for primary care.

Get the up-to-date Certification of Dependency - BCBST 2025 now

Here's how it works

How to edit Certification of Dependency - BCBST in PDF format online

See more Certification of Dependency - BCBST versions

Complete this form in 5 minutes or less

Got questions?

Are Blue Cross and Blue Cross Blue Shield the same?

Does BlueCross BlueShield of Tennessee require prior authorization?

Is the Blue Cross Blue Shield of Tennessee the same as the Blue Cross Blue Shield?

How do I submit a claim to BCBS Tennessee?

Who is the parent company of BlueCross BlueShield of Tennessee?

Complete this form in 5 minutes or less

People also ask

How do I find my BCBS TN member ID without card?

Can you use Blue Cross Blue Shield Tennessee in any state?

How can I tell which Blue Cross Blue Shield I have?

Related links

Try more PDF tools

Get the up-to-date Certification of Dependency - BCBST 2025 now

Here's how it works

How to edit Certification of Dependency - BCBST in PDF format online

See more Certification of Dependency - BCBST versions

Complete this form in 5 minutes or less

Got questions?

Are Blue Cross and Blue Cross Blue Shield the same?

Does BlueCross BlueShield of Tennessee require prior authorization?

Is the Blue Cross Blue Shield of Tennessee the same as the Blue Cross Blue Shield?

How do I submit a claim to BCBS Tennessee?

Who is the parent company of BlueCross BlueShield of Tennessee?

Related Searches

Related forms

Complete this form in 5 minutes or less

People also ask

How do I find my BCBS TN member ID without card?

Can you use Blue Cross Blue Shield Tennessee in any state?

How can I tell which Blue Cross Blue Shield I have?

Related links

Try more PDF tools