STATE MAIL TO MAILING ADDRESS CITY, STATE ZIP
2. If services were rendered in New York or Pennsylvania, then use the state-specific file address PDF. 3. Lastly mail the completed claim form to the address provided. STATE MAIL TO MAILING ADDRESS CITY, STATE ZIP Alabama Blue Cross and Blue Shield of Alabama 450 Riverside Parkway E Birmingham, AL 35298
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Blue View VisionSM Reimbursement Form
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