ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Individual Commercial Change Form (PDF)
တၢ်ဃုသ့ၣ်ညါတၢ်အစၢ
တၢ်ပာ်ဖျါ 2501 - 2510 လၢ 4233 အစၢတဖၣ်အကျါ
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Notice of Denial of Medicare Coverage (NDMC) Platinum Blue (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Notice of Denial of Medicare Coverage (NDMC) SecureBlue (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
2016 June Provider Press
တၢ်ရဲၣ်တၢ်ကျဲၤစးထီၣ်မူ၀ဲ အမုၢ်နံၤမုၢ်သီ- လါမ့ၤ 31, 2016
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Cost Estimate Form Provider services (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Consumer Health Education Materials (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Cost Estimate Request Form Hospital and Facility Services (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
P79-18 Reimbursement Policy Change to Immunizations with Evaluation and Management Services
တၢ်ရဲၣ်တၢ်ကျဲၤစးထီၣ်မူ၀ဲအမုၢ်နံၤမုၢ်သီ- လါဒံၣ်စဲဘၢၣ် 03, 2018
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Authorization Cancellation for Blue Cross (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Sample Waiver Form (PDF)