UT SELECT Medical Claim Form

UT SELECT Medical Claim Form

Details

Release Date: 
September 1, 2013
Responsible Offices: 
Employee Benefits

Contact Info

Phone: 
(866) 882-2034

Document Information

BCBSTX Claim Form to pay Insured/Subscriber. This form should not be filed if your Provider of Service is submitting these charges to Blue Cross and Blue Shield of Texas.

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