Bcbs Appeal Form Texas - Web mail or fax the completed form to: You can ask for an appeal if coverage or payment for an item or medical service is denied that you think should be. Web this form must be placed on top of the correspondence you are submitting. Complaint and appeal department p.o. Please check one of the boxes. Blue cross and blue shield of texas p.o. Blue cross and blue shield of texas attn:
Web mail or fax the completed form to: Blue cross and blue shield of texas attn: Web this form must be placed on top of the correspondence you are submitting. Blue cross and blue shield of texas p.o. You can ask for an appeal if coverage or payment for an item or medical service is denied that you think should be. Complaint and appeal department p.o. Please check one of the boxes.