Get Florida Blue Provider Claim Inquiry Form

In this case, you will need to perform the following steps. Post a partial payment. Place the claim into refile status. Make any necessary edits to the claim file. Refile the claim to only include the charges that have not been paid.

at .availity.com. All providers (in-network and out-of-network) should send corrected claims to Florida Blue electronically through Availity®1 at .availity.com. Sending corrected claims electronically means less paper, faster processing and allows you to submit and track your claims without manual intervention.

FAX: 1-866-990-1385 PLEASE NOTE: If your other insurance or Medicare policy is primary, you must attach a copy of the Explanation of Benefits from that insurer. Your claim cannot be processed without this information.

For coverage approval status, copies of forms and more, sign in to your account or call our Automated Assistant at 1-800-352-2583 anytime, day or night.

The Claims Inquiry Form (CIF) is used to request an adjustment for either an underpaid or overpaid claim, request a Share of Cost (SOC) reimbursement or request reconsideration of a denied claim. The CIF can also be used as a tracer.

Filing limitations for appealing a claim is one year (365 days) from the final processing date or the date the claim denied. Appeals must be submitted within one year (365 days) from the date on the remittance advice, or the message below will display.

You must file your claim within one year from the date of service. You can submit your claim any time during the year. Use a separate claim form for each family member and each physician or supplier. All sections of the form must be filled out completely or your claim may be returned to you.

WHAT IS A CORRECTED CLAIM? A corrected claim is a replacement of a previously billed claim that requires a revision to coding, service dates, billed amounts or member information. CORRECTED CLAIM BILLING REQUIREMENTS.