Members Contact - BCBST.com

Broker Contact Form

Please submit only one subscriber ID per request. Also, address changes cannot be made with this form; please call or write us with this information. (Please note that some employers require employees to go through them for changes of address for consistency of records.)

= Required

inquirer type:

name:

e-mail address:

daytime phone: ext

fax number:

Member Information: Please enter information on the member about whom you are inquiring. (If this is yourself, please enter your own information here.)

member/subscriber id: Enter Member/Subscriber ID below as it appears on your BlueCross BlueShield of Tennessee ID card. For example, enter ID number ZEC415012018 as

ZEC	415012018

member's date of birth:

patient name:

relationship to patient:

group number:

employer name:

contact category:

If you choose Log In Problem / Account Locked, please enter your user ID in the comments box below.

question or comment:

I prefer a written letter response to my question/comment instead of an e-mail response. (Response will be sent to the address on file.)

Page last modified:March 7, 2006