BlueChoice HealthPlan

group administrators

Member Claim Form

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If you visit your primary care physician or one of our network specialists, he or she will file claims for you. But there may be times when you travel outside our service area or receive services out of network and wish to file a claim. This is the form you use!

Member Claim Form

Please complete and send this form to:

BlueChoice HealthPlan
P.O. Box 6170
Columbia, SC 29260-6170



Copyright © 2007, BlueChoice HealthPlan. All rights reserved.
BlueChoice HealthPlan is a wholly owned subsidiary of BlueCross BlueShield of South Carolina. Both are independent licensees of the Blue Cross and Blue Shield Association.
® Registered Marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.
sm Service mark of BlueChoice HealthPlan of South Carolina, Inc.