An application for payment of benefits under a health plan. International claim forms are located here. For other claim forms, please see your local Blue Cross and Blue Shield companies.
The Blue Cross and Blue Shield System consists of 37 independently operated Blue Cross and Blue Shield member companies, a Federal Employee Program® and an Association, which serves the collective needs of the Blue Cross and Blue Shield Plans.
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Reserved. The BlueCross BlueShield Association is an
association of independent, locally operated Blue Cross and
Blue Shield Plans.