Access Medical, Dental, Prescription, and International* Claim Forms
*International Claim Form is used to submit claims for benefits for covered services received outside the United States
Click on the Form Finder and complete claim form, attach the completed form and the original bill issued by the provider and select "Claims Submission Attachments" in the subject dropdown, or; mail the the form and the original bill issued by your provider to the address printed at the top of the claims form.
Allow 30 days for the claims review. You can view the status of your claims in your Blue Access for Members (BAM) account.
