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Subscriber: A participant in a health plan (enrollee or eligible dependent) who makes up the plans enrollment. Also used to describe an individual specified within the policy who may or may not receive services ing to the benefit limits.
Submitting claims For faster processing and payment, submit claims and receive payments electronically using electronic data interchange (EDI) or the Real-time claims tool. You can also submit via SimpliSend or by postal mail.
The individual who enters into the agreement with the insurance company is known as the subscriber or member. Another term for this person is the policyholder. Also, If you buy a policy directly from an insurance company, you would be considered the subscriber.
The subscriber is the person subscribing to or carrying the insurance plan for the patient case. How is the patient related to the subscriber? For example, if the subscriber is the mother of the patient, then the Patient Relationship to Subscriber is Child.
Claim forms are available by logging into the member website at blueshieldca.com or by contacting the benefit administrator. Please submit your claim form and medical records within one year of the service date.
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