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Forms BlueCross BlueShield of South Carolina

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Update Your Tobacco Usage Information - South Carolina Blues

WebChange of Address Form — Use this form to change your physical, pay to, correspondence and/or billing agency address. Clinical Laboratory Improvement Amendment (CLIA) Certification Verification Form — Complete this form for each location that renders lab services in the office. WebProvider Reconsideration Form, completed in its entirety; An explanation of the issue(s) you’d like us to reconsider; Any supporting documentation, such as: The patient’s health history; Operative reports, office notes, pathology reports, hospital progress notes, radiology reports and/or lab reports Web1095 Tax Forms. 2024 IRS 1095-B tax forms are now available on My Health Toolkit ® if you received coverage from BlueChoice HealthPlan through a fully-insured, employer sponsored health plan. 1095-B is a form the IRS requires us to provide to you. It shows the health insurance coverage you had last year — in 2024 — that meets the ... blackish abc tv