Example: bankruptcy
Search results with tag "Blue shield of oklahoma"
Review Request Form - Blue Cross and Blue Shield of …
www.bcbsok.comPlease mail the inquiries to: Blue Cross and Blue Shield of Oklahoma P.O. Box 3283 Tulsa, OK 74102-3283 • Allowed Amount or Contractual Amount • Corrected claims • Coordination of Benefits • Diagnosis Codes • Explanation of Benefits from other carriers •temized Bills (speech, occupational and I physical therapies)
Claim Review Form - BCBSOK
www.bcbsok.comBlue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 604530.1120 CLAIM NUMBER (FOR MULTIPLE CLAIMS PROVIDE THE ADDITIONAL CLAIM NUMBERS BELOW) GROUP NUMBER PREFIX (3 CHARACTER …