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INSTRUCTIONS FOR FILING A MEDICAL CLAIM
www.floridablue.comInstructions 1 of 2 Please read all instructions carefully before completing the Medical Claim Form. If you incurred a covered medical expense or paid out-of-pocket and need to be reimbursed, you will send in this form. For medication and international claims, use the designated Pharmacy and/or International claim forms.
InstructIons for fIlIng a MedIcal claIM — Please read ...
www.bcbsfl.comInstructIons for fIlIng a MedIcal claIM — Please read before completing the form on the next page. 1. This form is only needed to submit claims for services and …