Skip to main content
I am a ...
Provider
≡
Search
Home
Health & Wellness
Live Healthy
Rally
Preventive Screening
After Your Screening
No-Pay Copay
Health Coaching
Adult Vaccinations
Diabetes Education
Colorectal Cancer Screening
Women's Wellness
Well Visits
Naturally Slim
Coverage Information
Medical
Dental
Prescription Drugs
Blue CareOnDemand
Patient-Centered Medical Home
Behavioral Health
Resources
Videos
ID Cards
Forms and Documents
Member Discounts
Text Messages
My Health Toolkit
My Health Toolkit Mobile App
Update Your Address
PEBA Perks
Search
Search
Search
Home
›
Resources
›
Forms and Documents
Forms and Documents
Health Claim
Health Claim Form
Blue Cross Blue Shield Global Core International Claim Form
Dental Claim
Dental Claim Form
Legal
HIPAA Authorization/Member Representative Form
Request for Confidential Communications
Other Health/Dental Insurance
Other Health/Dental Coverage
Find Care
Find a Dentist
Find a Provider
Print a Directory