Bluecard Worldwide International Claim Form
Core international claim form is to be used to submit institutional and professional claims for benefits for covered services received outside the united states puerto rico and the u s. Then fill out a bluecard worldwide claim form and send it with the bill s to the bluecard worldwide service center the address is on the form. Https Www Bcbsil Com Provider Pdf Manual Bluecard Program Manual Pdf For filing instructions for other claim types e g dental. Bluecard worldwide international claim form . For other claim types e g dental prescription drugs contact your florida blue plan for filing instructions. For outpatient no overnight stay at a hospital and doctor care or inpatient care you did not get through the bluecard worldwide service center you will need to pay the doctor or hospital and send an international claim form. The bluecard worldwide international claim form is to be used to submit institutional and professional claims for benefits for covered services received outside