This EFT Authorization Agreement must be fully completed, signed and returned via U.S. Mail or fax to: Blue Cross and Blue Shield of Texas (BCBSTX)
This document is hosted externally.
Unless the owner has removed it from the web, you can access the full document via its original URL:
https://www.bcbstx.com/pdf/medicaid_eft.pdfUnless the owner has removed it from the web, you can access the full document via its original URL:
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