WebImportant Legal Information: Highmark Blue Shield, Highmark Benefits Group, Highmark Choice Company, Highmark Senior Health Company, and/or Highmark Health Insurance Company provide health benefits and/or health benefit administration in the 21 counties of central Pennsylvania and 13 counties in northeast and north central Pennsylvania. WebMEMBER DENTAL CLAIM FORM HEADER INFORMATION INSURANCE COMPANY/DENTAL BENEFIT PLAN INFORMATION OTHER COVERAGE (Mark applicable box and complete 5-11. If none, leave blank.) RECORD OF SERVICES PROVIDED AUTHORIZATIONS ANCILLARY CLAIM/TREATMENT INFORMATION TREATING DENTIST AND TREATMENT LOCATION …
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WebNov 5, 2024 · Please call: 1-855-446-4771 Or The number on the back of your member ID card 8:00 AM - 8:00 PM 7 days/week TTY: Dial 711. We provide free accommodations for … WebMar 6, 2024 · U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20241 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. top mold injury lawyers
MEMBER DENTAL CLAIM FORM - highmarkbcbs.com
WebTRICARE Members. Call for TRICARE Beneficiary Customer Service or Technical Support for the TRICARE Beneficiary Program. (877) 363-1303. TTY users call: (877) 540-6261. 24 … WebCLAIM.MD Payer Information Freedom Blue Medicare Advantage ☰ Payer Information Freedom Blue Medicare Advantage Payer ID: SB942 This insurance is also known as: Freedom Blue Medicare Advantage Claims HIGHMARK SENIOR HEALTH COMPANY Other ID's: 15460 Need to submit transactions to this insurance carrier? Find out More WebHighmark Blue Shield P.O. Box 898845 Camp Hill, PA 17089 -8845 Children ’s Health Insurance Plan (CHIP) PPO Plus . Highmark Blue Shield P.O. Box 890173 Camp Hill, PA … pine clapboards maine