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Get and Sign Member Claim Form Blue Cross and Blue Shield of North Carolina 2014
BCBSNC requires that procedure codes and diagnosis codes on the itemized receipt be supplied by the provider of the service. Your claim cannot be processed without this information. An independent licensee of the Blue Cross and Blue Shield Association. SM Marks of the Blue Cross and Blue Shield Association. SM1 Mark of Blue Cross and Blue Shield of North Carolina. BE236 2/14 SECTION IV Services and Supplies To Be Considered For Reimbursement These may include ambulance services medical...
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