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If your provider or pharmacy is in your plan's network, they'll submit the claim for you. If you saw an out. Web medical claim form (subscriber/policyholder to complete) enter your member number & group number. Web how do i submit a claim? Find and download forms often used by. Web your health insurance claims when you see a doctor or other health care provider, the provider’s office sends us a claim. Web forms for members enrolled in individual, family and employer plans with florida blue. Web major medical/vision claim form.