BCBS Refund Form Guide to Refund Requests and Claims

If you're due a refund from BCBS, you'll need to submit a refund form. This can be a straightforward process if you follow the right steps.

To start, you'll need to ensure you're eligible for a refund. BCBS will only refund overpaid premiums or other amounts that were incorrectly charged.

You can request a refund online, by phone, or by mail. BCBS offers multiple channels for convenience.

To request a refund online, you'll need to log in to your account and submit a request through the member portal.

You can submit refunds online in real-time using the Electronic Refund Management (eRM) tool.

To use eRM, you need to register with Availity Essentials.

The eRM tool offers several features, including electronic notification of overpayments identified by BCBSMT, and the ability to view, search, and inquire about refund requests online.

You can also dispute or appeal a refund request online, and access recoupment reconciliation information.

Alternative payment options are available, such as paying by check or deducting from future payments.

You can even submit unsolicited refunds using the eRM tool.

A Claim Inquiry Resolution (CIR) function is also available, allowing you to submit inquiries related to High-Dollar, Pre-Pay Review requests for most Host (BlueCard out-of-area) claims.

Here are some of the key features of the eRM tool:

If you use a provider outside of the network, you'll need to complete and file a claim form for reimbursement.

You can find the Health Benefits Claim Form for this purpose. Overseas members should use the Overseas Medical Claim Form instead.

To file a dental claim, you'll need to complete the BCBS FEP Dental Claim Form. This form is required for reimbursement of dental benefits.

Don't forget to file your claim form in a timely manner to avoid any delays in reimbursement.