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Bcbstn Form

Bcbstn Form

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Or corporation, that provides TennCare covered services to TennCare enrollees. Please answer all questions as of the current date. If additional space is needed, please note on the form that the answer is being continued, and attach a sheet referencing the item number that is being continued. Return this form to the address on the application packet. Please retain a copy for your files. Completely answer the applicable questions. If a question is not applicable please respond N/A for that...
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The broadcast is now starting all attendees are in listen-only mode hi good morning good afternoon this is Eric Dickey with the TDA financial services insurance program this webinar is to assist everyone that is enrolling in a small group plan with blue cross going over the forms the first farm you're going to look at when you're in filling out the Blue Cross Bluesier employer is the employer application which is showing on the screen you'll want to put the legal name of your dental practice your employer ID number which is your tax ID number nature of the business is going to be dentistry standard industry code is a zero to one you'll want to put your physical address the email of the person that will be authorized to access your employer Blue Cross account this can be you or an office manager, but again you'll, you'll need to put someone and this can be changed later and then if your billing address is different from your physical address you'd want to put this the billing method whi


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