More claims filing information is published in the BCBSMT Provider Manual. If the services are provided in Montana submit claims to: 27, 2022 Scheduled update FSSA and Gainwell 7.0 Policies and procedures as of. If you print our online form, you must print it in color so that our optical character scanner can "read" the form.ĭental providers may use the Blue Cross and Blue Shield of Montana (BCBSMT) Dental Claim Form to receive compensation for services. JPublished: MaScheduled update FSSA and Gainwell 6.0 Policies and procedures as of Feb. Hospitals and facilities should complete the UB-04 claim form to receive compensation for medical services. If you print our online form, you must print it in color so that our optical character scanner can "read" the form. ![]() During this time, you can still find all forms and guides on our legacy site. The CMS-1500 is available at most office supply stores. Easily find and download forms, guides, and other related documentation that you need to do business with Anthem all in one convenient location We are currently in the process of enhancing this forms library. Professional Providers should use the CMS-1500 form to be compensated.
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