Claims & Appeals
SecureBlue (HMO SNP) appeal rights process - Opens in a new window
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Claims & Appeals
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Claims & Appeals
Vision claim form (Medicare) - Opens in a new window
Request reimbursement for eligible eye care services you've received. For members of Medicare plans.
Financial Information
Claims & Appeals
Subscriber Medical Claim Form - Spanish - Opens in a new window
Formulario de solicitud de reembolso presentado por el miembro
Financial Information
Claims & Appeals
BlueCard Worldwide International Claim Form - Spanish - Opens in a new window
Reclamo Internacional
Claims & Appeals
Provider
Non-Minnesota/Non-Par Provider Claim Adjustment Appeal Form - Opens in a new window
Claims & Appeals
Blue Cross and Blue Shield of Minnesota Self-Insured Complaint Form - Opens in a new window
Financial Information
Claims & Appeals
Member Dental Claim Form - Opens in a new window
Financial Information
Claims & Appeals
International Claim Form - Opens in a new window
Claims & Appeals
Nondiscrimination Complaint Form - Opens in a new window
Claims & Appeals
Benefits & Coverage
Blue Plus Member Authorization form - Opens in a new window