Transcription of Prescription Drug Reimbursement Claim Form - …
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Prescription drug Reimbursement Claim form Express Scripts is an independent company that provides pharmacy services for Blue Cross Blue Shield of Michigan. Instructions: Please read carefully or claims may be time and money. In the future, present your Blue Cross Blue Shield of Michigan ID card at a participating pharmacy and ask them to submit your Prescription Claim electronically. We have over 50,000 pharmacies in our network. Submission Requirements Claims must be submitted within one year of the date of service. Claims over one year will not bereimbursed. Pharmacy receipts are required for each register receipts are not you don t have a pharmacy receipt, ask your pharmacy to provide one to you.
Health Insurance Marketplace Prescription Drug Reimbursement Claim Form é Instructions: Please read carefully or claims may be returned. Save time and money. In the future, present your BCBSM ID card at a participating pharmacy and ask them to submit your prescription
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