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Web international claim form blue cross and blue shield plans are independent licensees of the blue please see the instructions on the reverse side of this form before completing. Enter the two or three letters (called an alpha prefix) at the head of your member id card. Overseas members should use the. Read and accept the terms. Send completed form and documentation to: International claim form (pdf, 61 kb) blue. Your local company can help you to: Web if you are eligible for the blue cross blue shield global core program, enter the first three letters or numbers of your member id here to access your international claim form and. Blue cross and blue shield companies are independent licensees. Please see the instructions on the reverse side of this form before completing.
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