တၢ်ဃ့က့ၤအဘူးအလဲ ဒီးတၢ်ပတံသကွံာ်ကညးတၢ်တဖၣ်
BCBS and Blue Plus Fully Insured Complaint Form
လံာ်တီလံာ်မီတဖၣ်ဒီး လံာ်ကွီၣ်ဒိတဖၣ်အစၢတဖၣ်
တၢ်ဃ့က့ၤအဘူးအလဲတဖၣ်ဒီး တၢ်ပတံသကွံာ်ကညးတဖၣ်မၤပျီကွံာ်တၢ်ပှံၢ်ခဲလၢာ်
တၢ်ပာ်ဖျါ 11 - 17 လၢ 17 အစၢတဖၣ်အကျါ
တၢ်ဃ့က့ၤအဘူးအလဲ ဒီးတၢ်ပတံသကွံာ်ကညးတၢ်တဖၣ်
BCBS Fully Insured Complaint Form
တၢ်ဃ့က့ၤအဘူးအလဲ ဒီးတၢ်ပတံသကွံာ်ကညးတၢ်တဖၣ်
Blue Cross and Blue Shield of Minnesota Self-Insured Complaint Form
တၢ်ဃ့က့ၤအဘူးအလဲ ဒီးတၢ်ပတံသကွံာ်ကညးတၢ်တဖၣ်
Privacy Practices Complaint Form
တၢ်ဃ့က့ၤအဘူးအလဲ ဒီးတၢ်ပတံသကွံာ်ကညးတၢ်တဖၣ်
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Non-Minnesota/Non-Par Provider Claim Adjustment Appeal Form
တၢ်ဃ့က့ၤအဘူးအလဲ ဒီးတၢ်ပတံသကွံာ်ကညးတၢ်တဖၣ်
Nondiscrimination Complaint Form
တၢ်ဃ့က့ၤအဘူးအလဲ ဒီးတၢ်ပတံသကွံာ်ကညးတၢ်တဖၣ်
Worldwide Emergency or Urgent Care Benefit Claim Form
Use this form to request reimbursement for emergency or urgent care services received outside the United States.