Get Medex Subscriber Claim Form

Submit the claim to us within 90 days from the other payer's rejection date The claim was submitted to the other insurer within 90 days of the date of service or discharge.

Expenses that are not covered by Medicare are often referred to as “gap.” Medicare supplement, “Medigap” plans, such as Medex help to fill in these coverage gaps. It helps you pay Medicare's deductible and co-insurance costs, and covers certain services Medicare doesn't.

Submit the claim to us within 90 days from the other payer's rejection date The claim was submitted to the other insurer within 90 days of the date of service or discharge.

Call 1-800-200-4255(TTY: 711).

Expenses that are not covered by Medicare are often referred to as “gap.” Medicare supplement, “Medigap” plans, such as Medex help to fill in these coverage gaps. It helps you pay Medicare's deductible and co-insurance costs, and covers certain services Medicare doesn't.

Click Blue Cross Blue Shield's Payer ID, SB700.

Call 1-800-200-4255(TTY: 711).

This plan supplements Medicare coverage for inpatient and outpatient care, including prescription drugs through the Blue MedicareRxSM.

Click Blue Cross Blue Shield's Payer ID, SB700.

Call 1-800-200-4255(TTY: 711).

This plan supplements Medicare coverage for inpatient and outpatient care, including prescription drugs through the Blue MedicareRxSM.

Mailing Address (claims and correspondence): Blue Benefit Administrators of Massachusetts. PO BOX 55917. Boston, MA 02205-5917.

Call 1-800-200-4255(TTY: 711).

A claim form is a standard printed document used for submitting a claim. Under normal circumstances, reimbursement will take place within ten days of receipt and approval of claim form and all required documents.

Mailing Address (claims and correspondence): Blue Benefit Administrators of Massachusetts. PO BOX 55917. Boston, MA 02205-5917.

The person who pays for health insurance premiums or whose employment is the basis for membership in the insurance plan. For example, if you have health insurance through your spouse's health insurance plan, he or she is the primary subscriber.

A claim form is a standard printed document used for submitting a claim. Under normal circumstances, reimbursement will take place within ten days of receipt and approval of claim form and all required documents.

The person who pays for health insurance premiums or whose employment is the basis for membership in the insurance plan. For example, if you have health insurance through your spouse's health insurance plan, he or she is the primary subscriber.