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- This page contains the Payer Codes and all necessary Payer Enrollment forms required
to submit claims to BlueCross/BlueShield, Medicare, Medicaid and select Commercial
Payers.
- Please follow the steps outlined on the Enrollment Forms Cover Page to ensure a
smooth process.
- Click on the Payer Id below to download the enrollment form. If a payer is not listed,
no enrollment forms are necessary to submit claims to that payer.
- All enrollment forms are in Adobe Acrobat® format (.pdf). If you do not have Adobe
Acrobat® Reader, you may download it here.
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