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Alberta Blue Cross Life Insurance Company of Canada fax number

(780) 441-2605

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Claims - Terminal Illness

Used for: Terminal illness claim submission for life insurance benefits

Fax destination details

Department
Claims - Terminal Illness
Purpose
Terminal illness claim submission for life insurance benefits
Form
Terminal Illness Claim Form — Terminal Illness Claim Form
Address
10009 108 Street NW, Edmonton, AB T5J 3C5, Canada

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Complete Part 1 (Patient Authorization) and Part 2 (Attending Physician Statement); include all required medical documentation; sign and date; submit to Alberta Blue Cross.

Official form instructions are published as a downloadable file on the organization's website.

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