A covered person or an authorized representative can submit written proof of any
service, supply, prescription drug, test, equipment or other treatment up to 180
days after the service. In most cases, the healthcare provider will file claims
directly with us for services provided to our members. When that does not occur,
a member may submit the claim directly to us. You will need:
Send both documents via mail or email to:
Important: Your submission may be returned if it does not comply with our
filing and coding policies and procedures. You may request a copy of the claim coding
policies and procedures from us or the service provider. For more information, contact
customer service at 1-800-800-4298.
Send completed claim form to:
Dental Claims Administrator
PO Box 69436
Harrisburg, PA 17106-9436
For more information, contact customer service at 1-888-223-4999.
Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.
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