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Florida blue non participating provider form 2026

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  1. Click ‘Get Form’ to open the Florida Blue Non-Participating Provider Form in the editor.
  2. Begin by selecting your registration type: Group/Organization or Individual. If you choose Group, complete Section 1; if Individual, skip to Section 2.
  3. In Section 1, provide full details of your Group/Organization including name, Tax ID, and NPI number. Ensure all fields are filled accurately.
  4. For Individual providers in Section 2, fill in your name as it appears on your license, date of birth, gender, and other required personal information.
  5. Proceed to Section 3 to list the types of services you will render and provide your practice details including mailing address and contact information.
  6. Complete Sections 4 through 9 as applicable, ensuring that all supporting documents are attached where required.

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Physicians providers. 1-800-727-2227. Quick Reference Contact Guide. Florida Blue Centers. 1-877-352-5830. TTY/TDD: 1-800-955-8770. Media inquiries. 1-904-905-7864. Florida Blue Foundation. 1-800-477-3736. ext. 63215.
For coverage approval status, copies of forms and more, sign in to your account or call our Automated Assistant at 1-800-352-2583 anytime, day or night. Click here for a full list of service options.
Customer service advocates are here for you Monday through Friday from 8 a.m. to 6 p.m. ET. You can reach us by phone at 800-352-2583 or chat live with us by clicking Chat. Or you can call 877-352-5830 to be automatically routed to your local Florida Blue Center.
Blue Cross and Blue Shield of Florida, Inc. (BCBSF) is now Florida Blue. The new name, new logo and tagline In the pursuit of health are all part of the companys transition to a health solutions company with an overarching mission to help the people of Florida and their communities achieve better health.
Your doctor must contact Florida Blue at 1-877-719-2583 or its delegate at (800) 424-4947 at MagellanRx Management.

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