Submitting a Blue Cross Blue Shield Global Core Claim Sample Clauses

Submitting a Blue Cross Blue Shield Global Core Claim. When Enrolled Members pay for covered healthcare services outside the BlueCard service area, they must submit a claim to obtain reimbursement. For institutional and professional claims, Enrolled Members should complete a Blue Cross Blue Shield Global Core claim form and send the claim form with the provider’s itemized xxxx(s) to the service center address on the form to initiate claims processing. The claim form is available from BCBSRI, the service center, or online at xxx.xxxxxxxxxxxxxx.xxx. If Enrolled Members need assistance with their claim submissions, they should call the service center at 0.000.000.XXXX (2583) or call collect at 0.000.000.0000, 24 hours a day, seven days a week.

Submitting a Blue Cross Blue Shield Global Core Claim. When the Member pays for Covered Medical Services outside the BlueCard service area, the Member must submit a claim to obtain reimbursement. For institutional and professional claims, the Member should complete a Blue Cross Blue Shield Global Core International claim form and send the claim form with the provider’s itemized bill(s) to the service center (the address is on the form) to initiate claims processing. Following the instructions on the claim form will help ensure timely processing of the Member’s claim. The claim form is available from Blue Cross and Blue Shield of Montana, the service center or online at xxx.xxxxxxxxxxxxxx.xxx. If the Member needs assistance with the Member claim submission, the Member should call the service center at 0-000-000-XXXX (2583) or call collect at 0-000-000-0000, 24 hours a day, seven days a week. Complaints and Grievances The Plan has established a Complaint and Grievance process. A complaint involves a communication from the Member expressing dissatisfaction about The Plan’s services or lack of action or disagreement with The Plan’s response. A grievance will typically involve a complaint about a provider or a provider’s office and may include complaints about a provider’s lack of availability or quality of care or services received from a provider’s staff. Most problems can be handled by calling Customer Service at the number appearing on the inside cover of this Contract. The Member may also file a written complaint or grievance with The Plan. The fax number, email address, and mailing address of The Plan appears on the inside cover of this Contract. Written complaints or grievances will be acknowledged within 3 days of receipt. The Member will be notified of The Plan’s response within 60 days from receipt of the Member’s written complaint or grievance.