BC/BS CLAIMS

BLUE CROSS/BLUE SHIELD

MOST HOSPITALS, DOCTORS AND PHARMACISTS WILL FILE A CLAIM DIRECTLY WITH US

Please show your Blue Cross & Blue Shield identification card. Most providers including pharmacists, will file for you.

If you are filing a claim for medical bills or prescriptions, use their claims forms available at our office. Help us avoid unnecessary delays by answering all questions completely.

INSIST ON ITEMIZED BILLS!

We want to process your claims quickly, but we can't do so without properly itemized bills.

HERE'S WHAT WE URGE YOU TO DO:

	Attach ORIGINAL BILLS to your claim forms. We recommend that you make copies of each bill for your personal records. The original bills will not be returned.
	Mail to the address shown on each claim form.

ADDITIONAL THINGS YOU SHOULD KNOW:

Is Medicare Your Primary Health Insurance Payer?

If yes, please be sure to send all bills to Medicare FIRST (services not covered by Medicare may be sent directly to Blue Cross and Blue Shield FIRST). After you receive an "EXPLANATION OF BENEFITS" form from Medicare showing what was paid, send a copy of this notification with your medical bills and completed Health Insurance claim form to us for processing.

Bills for the following services should show:

Ambulance:

	Date(s) when service was used
	Base rate and mileage
	Please where patient was picked up and driven to

*If Transferred from one location to another, a letter from the attending physician giving the reason for the transfer must be attached to the bill.

Rental of Durable Medical Equipment:

	A statement from the attending physician stating why the equipment was necessary must be attached to the bill
	Provide an estimate of how long the equipment will be used and the purchase price of the equipment
	If for long term use, please remember Rental is Paid only up to the Purchase Price of the Equipment

Private Duty Nursing:

	Bills must show whether the nurse is a registered nurse or a licensed practical nurse
	Nurse's license or registry number
	Date(s) of service
	Type of care given
	Charge for each hour or shift
	A letter from the physician stating why nursing care was necessary, as well as the nurses progress notes